The preoperative teaching for a patient scheduled for a transsphenoidal hypophysectomy should include the instruction that postoperatively, the patient should:

A. Avoid Sneezing

B. Drink through a straw

C. Cough forcefully.

D. Wash mouth out with peroxide.

A. Avoid Sneezing

The nurse is aware that the large flattened features of the patient with acromegaly are caused by an excess of :

A. Prolactin

B. Growth hormone

C. Thyroid-stimulating hormone

D. Adrenocorticotropic hormone

B. Growth Hormone

On an intake physical examination, the nurse questions the patient with diabetes insipidus (DI) about the classic symptoms of that disease, which are:

A. Diuresis, tachycardia, and weakness

B. Dizziness, hypertension, and excitability.

C. Stress incontinence, vomiting, and edema.

D. Bradycardia, insomnia, and muscle cramps.

A. Diuresis, tachycardia, and weakness

The patient with Addison disease asks why she must take hydrocortisone. The nurse clarifies that the drug will:

A. Increase cardiac output.

B. Regulate the excretion of potassium and sodium.

C. Decrease the level of cortisol.

D. Lower the blood sugar level.

B. Regulate the excretion of potassium and sodium.



The patient states that he is confused because the physician told him that his DI is nephrogenic. The nurse explains that nephrogenic DI differs from neurogenic DI in that nephrogenic DI:

A. will eventually reslove without medication.

B. Requires the nasal spray lypressin. C. Does not respond to ADH.

D. Will require dialysis.

C. Does not respond to ADH.


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