Which rationale describes why steroids are administered to a client scheduled for a bilateral adrenalectomy?

The administration of steroids to a client scheduled for a bilateral adrenalectomy is primarily aimed at compensating for the sudden lack of hormones that occurs after the removal of the adrenal glands. The adrenal glands produce essential hormones, including cortisol and aldosterone, which play vital roles in various bodily functions, such as the regulation of metabolism, immune response, and blood pressure.

When both adrenal glands are removed, the body immediately experiences a deficiency of these hormones. Without the necessary levels of cortisol and aldosterone, the patient can suffer from adrenal crisis, which can be life-threatening. Administering steroids before and after surgery helps to ensure that the body's hormone levels remain stable, preventing complications associated with adrenal insufficiency. Hence, this rationale for steroid administration aligns with the physiological needs of the patient following a bilateral adrenalectomy.