Following an adrenalectomy, what is the nurse's priority assessment?

After an adrenalectomy, the priority assessment for the nurse focuses on blood pressure. This is crucial because the adrenal glands, particularly the adrenal cortex, produce hormones such as cortisol and aldosterone that are vital for regulating blood pressure and fluid balance. A sudden reduction in cortisol levels following the removal of the adrenal glands can lead to a condition known as adrenal crisis, which is characterized by hypotension (low blood pressure), among other symptoms.

Monitoring blood pressure allows the nurse to quickly identify any significant drops that could indicate complications from surgery, such as adrenal insufficiency. Early detection and intervention are essential to prevent further complications and ensure patient safety.

While assessing serum potassium is also important due to the potential for electrolyte imbalances post-surgery, and administering fluids like dextrose in water can be necessary for maintaining hydration and glucose levels, blood pressure is considered the priority assessment due to its immediate implications for patient stability. Opioids may be administered for pain management, but they are not an assessment; the focus remains on ensuring cardiovascular stability first.