Which intervention should the nurse implement for an older adult woman with Cushing's syndrome scheduled for cataract surgery?

In the case of an older adult woman with Cushing's syndrome scheduled for cataract surgery, monitoring intake and output is a critical intervention. Cushing's syndrome often leads to fluid retention and electrolyte imbalances due to elevated cortisol levels. These factors can increase the risk of complications during and after surgery, particularly in older adults who may have reduced physiological reserve. By measuring intake and output, the nurse can effectively monitor the patient's fluid balance, ensuring that she does not retain excessive fluid or become dehydrated, both of which can complicate her recovery.

Additionally, monitoring intake and output allows for early detection of potential postoperative complications such as fluid overload or inadequate kidney function, which are particularly significant concerns in patients with Cushing's syndrome. This intervention aligns with the nursing priority of stabilizing the patient’s condition before and after surgery, providing essential data for managing care effectively.