A client is in the ICU recovering from a bilateral adrenalectomy. What should the nurse monitor as a priority for this client?
1. Swelling in the neck
2. Hypotension, rapid pulse, weakness, and confusion
3. Weight gain
4. Depression
Answer: 2
1. The adrenal glands are located on the kidney so neck swelling is not likely.
2. The client is monitored for Addison's crisis, which is a life-threatening occurrence and is characterized by hypotension, rapid pulse, weakness, and confusion.
3. Weight gain is seen in clients with Cushing's disease.
4. Depression could occur later on in the recovery process, but it is seen more often in those with Cushing's disease.
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