Which statement made by the client after a bilateral adrenalectomy indicates a need for further clarification regarding medications?
A. "I will take my cortisol replacement with food."
B. "I will avoid aspirin or aspirin-containing products."
C. "If I have any kind of stress, I will increase my doses of cortisol."
D. "If I have nausea or vomiting, I will skip the medication until I am better."
D
Cortisol replacement after bilateral adrenalectomy must continue daily for the rest of the client's life. Skipping doses could cause adrenal crisis and death. If the client cannot take the drugs oral-ly, arrangements must be made for the client to receive the drug parenterally.
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