Which assessment finding of a 42-year-old patient who had a bilateral adrenalectomy requires the most rapid action by the nurse?
a. The blood glucose is 176 mg/dL.
b. The lungs have bibasilar crackles.
c. The blood pressure (BP) is 88/50 mm Hg.
d. The patient reports 5/10 incisional pain.
ANS: C
The decreased BP indicates possible adrenal insufficiency. The nurse should immediately notify the health care provider so that corticosteroid medications can be administered. The nurse should also address the elevated glucose, incisional pain, and crackles with appropriate collaborative or nursing actions, but prevention and treatment of acute adrenal insufficiency is the priority after adrenalectomy.
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