AIIH MED-SURG 1 TEST 7 Answer Key (2022)

AIIH MED-SURG 1 TEST 7 Answer Key (2022) 4.The client just diagnosed with hyperpituitarism and acromegaly is scheduled for a hypophysectomy. Which statement made by the client indicates a need for clarification regarding this treatment? A. “I will drink whenever I feel thirsty after surgery.” B. “I'm glad there will be no visible incision from this surgery.” C. “I hope I can go back to wearing size 8 shoes instead of size 12.” D. “I will wear slip-on shoes after surgery so I don't have to bend over.” ANS: C Although removal of the tissue that is oversecreting hormones can relieve many symptoms of hyperpituitarism, skeletal changes and organ enlargement are not reversible. 5.The “mustache” dressing of a client postoperative from a transsphenoidal hypophysectomy is saturated with clear, yellow-tinged fluid. What is the nurse’s best first action? A. Document the finding as the only action. B. Obtain a specimen for culture. C. Test the drainage for glucose. D. Notify the physician. ANS: C Clear, yellow-tinged drainage could be serous or could contain cerebrospinal fluid (CSF). CSF contains a relatively high concentration of glucose; serous drainage does not. 6.Which client responses demonstrate to the nurse that treatment for diabetes insipidus is effective? A. Urine output is increased; specific gravity is increased. B. Urine output is increased; specific gravity is decreased. C. Urine output is decreased; specific gravity is increased. D. Urine output is decreased; specific gravity is decreased. ANS: C Diabetes insipidus causes urine output to be greatly increased, with a low urine osmolarity, as evidenced by a low specific gravity. Effective treatment results in a decreased urine output that is more concentrated, as evidenced by an increased specific gravity. 7.Which of the following clinical manifestations alerts the nurse to the possibility of side effects of desmopressin acetate (DDAVP) therapy, taken nonparenterally by a client with diabetes insipidus? A. Fibrosis at the injection site B. Orthostatic hypotension C. Decreased urine output D. Nasal ulceration