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Home Q & A Board Biology-Related Homework Help Medicine Nursing and Clinical
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colleen colleen
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11 years ago
The nurse is providing care to a patient who is in the postoperative period following a bilateral adrenalectomy. Which of the following interventions would be helpful to assess for the onset of adrenal insufficiency?
1. Monitor strict intake and output.
2. Change dressing using clean technique.
3. Question the order for cortisol administration.
4. Place on fluid restriction.
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Sunshine ☀ ☼

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#1
Valued Member
11 years ago
1 -- Removal of an adrenal gland, especially a bilateral adrenalectomy, results in adrenal insufficiency. Addisonian crisis and hypovolemic shock may occur. The nurse should monitor intake and output. While care should be taken during dressing changes to avoid infection, this will not prevent adrenal insufficiency. Cortisol is often given on the day of surgery and in the postoperative period to replace inadequate hormone levels. Intravenous fluids are also administered.
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