Immediately after a bilateral adrenalectomy, a client is receiving corticosteroi

Question

Immediately after a bilateral adrenalectomy, a client is receiving corticosteroids that are to be continued after discharge. The nurse should recognize a need for further teaching when the client states

a). " I need to have periodic tests of my blood for glucose"

b). " I must take the pills between meals on an empty stomach"

c). "Hopefully the dosage will be regulate so I can take them once or twice a day"

d). "I should tell the doctor if I am overly restless, depressed, or have trouble sleeping"

Explanation / Answer

1. c Removal of both the adrenal glands is called Bilateral Adrenalectomy. During discharge the patient is taught how to self- administer replacement hormones and explains to them that ,throughout their life they need to undergo replacement of glucocorticoids and mineralocorticoids.

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