Chapter 48: Pituitary and Adrenal Disorders Linton: Medical-Surgical Nursing, 7th Edition questions with 100% correct answers Download for an A+
23 views 0 purchase
Course
NURS 212
Institution
Columbia College (CC
)
1. What should preoperative teaching for a patient scheduled for a transsphenoidal
hypophysectomy include that the patient should do postoperatively?
a. Avoid sneezing.
b. Drink through a straw.
c. Cough forcefully.
d. Wash mouth out with peroxide.
ANS: A
The patient should be taught to avoi...
1. What should preoperative teaching for a patient scheduled for a transsphenoidal
hypophysectomy include that the patient should do postoperatively?
a. Avoid sneezing.
b. Drink through a straw.
c. Cough forcefully.
d. Wash mouth out with peroxide.
ANS: A
The patient should be taught to avoid sneezing, coughing, drinking through a straw, and using
a stringent mouthwash that might dislodge the graft.
DIF: Cognitive Level: Comprehension REF: p. 930|p. 934
OBJ: 1 TOP: Pituitary Surgery
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
2. What hormone causes the features of a patient with acromegaly?
a. Prolactin
b. Growth hormone
c. Thyroid-stimulating hormone
d. Adrenocorticotropic hormone
ANS: B
Excess growth hormone in an adult will cause the flat bones to grow because the adult has
little capacity for heightened growth. In a child, this same excess would cause giantism.
3. What are the classic symptoms of diabetes insipidus (DI)?
a. Diuresis, dehydration, and thirst
b. Dizziness, hypertension, and excitability
c. Stress incontinence, vomiting, and edema
d. Bradycardia, insomnia, and muscle cramps
ANS: A
Common signs and symptoms of DI are massive diuresis, dehydration, and thirst. Dehydration
is characterized by hypotension, tachycardia, dizziness, decreased skin turgor, weakness, and
possible fainting episodes.
This study source was downloaded by 100000812546443 from CourseHero.com on 07-20-2023 04:40:20 GMT -05:00
https://www.coursehero.com/file/93304289/48rtf/
, 4. A patient states that he is confused because the physician told him that his diabetes insipidus
(DI) is nephrogenic. What should the nurse state when describing the difference between
nephrogenic DI and neurogenic DI?
a. Nephrogenic DI will eventually resolve without medication.
b. Nephrogenic DI requires the nasal spray lypressin.
c. Nephrogenic DI does not respond to ADH.
d. Nephrogenic DI will require dialysis.
ANS: C
Nephrogenic DI does not respond to ADH.
5. A 14-year-old adolescent male patient has been diagnosed with Addison disease. Which effect
of Addison disease should this patient be aware of?
a. He will not develop pubic hair.
b. He will grow a heavy beard.
c. He will become bald at an early age.
d. He will have enlarged joints.
ANS: A
The boy with Addison disease will not grow facial, axillary, or pubic hair. Balding and
enlarged joints are not associated with Addison disease.
6. What is the cardinal indication of a pheochromocytoma?
a. Significant hypertension
b. Extreme nausea
c. Abdominal pain
d. Edema in the legs
ANS: A
The patient with a pheochromocytoma exhibits dangerously high hypertension. Hypertension
and its attendant symptoms are what bring the patient to the physician. The tumor is found
incidentally.
7. A nurse is caring for a patient diagnosed with Addison disease. Which signs and symptoms
should lead the nurse to suspect an adrenal crisis?
a. Hypertension and abdominal pain
b. Confusion and tachycardia
c. Bradycardia and nausea
d. Widening pulse pressure and shortness of breath
This study source was downloaded by 100000812546443 from CourseHero.com on 07-20-2023 04:40:20 GMT -05:00
https://www.coursehero.com/file/93304289/48rtf/
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Studygreatsolutions. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.49. You're not tied to anything after your purchase.
