Critical actions the nurse takes specifically when caring for the client with Cushing's syndrome who had an adrenalectomy include (Select all that apply)

Question

a. ambulate the client as soon as the client is able.
b. begin discharge planning on admission for the operation.
c. use strict aseptic technique when changing dressings.
d. strongly encourage client to cough and deep breathe.

Answer 1

A, B
The client receiving steroid replacement is at high risk for infection because of lowered resistance to stress and a compromised immune system. Protecting this client from infection is vital. Discharge planning begins on admission for all clients. Most postoperative clients benefit from ambulation as soon as they are able.