Endocrine Nclex review and 2 others Questions With Complete Solutions

1. A pt with suspected acromegaly is seen at the clinic. To assist in making the diagnosis, which question should the nurse ask? a. "Have you had a recent head injury?" b. "Do you have to wear larger shoes now?" c. "Is there any family history of acromegaly?" d. "Are you experiencing tremors or anxiety?" correct answer: B Rationale: Acromegaly causes an enlargement of the hands and feet. Head injury and family history are not risk factors for acromegaly. Tremors and anxiety are not clinical manifestations of acromegaly. (Cognitive Level: Application Text Reference: p. 1291 NProcess: Assessment NCLEX: Physiological Integrity) 2. During preoperative teaching for a patient scheduled for transsphenoidal hypophysectomy for treatment of a pituitary adenoma, the nurse instructs the patient about the need to a. remain on bed rest for the first 48 hours after the surgery. b. avoid brushing the teeth for at least 10 days after the surgery. c. cough and deep-breathe every 2 hrs postoperatively. d. be positioned flat with sandbags at the head postoperatively. correct answer: B R: To avoid disruption of the suture line, the patient should avoid brushing the teeth for 10 days after surgery. It is not necessary to remain on bed rest after this surgery. Coughing is discouraged because it may cause leakage of cerebrospinal fluid (CSF) from the suture line. The head of the bed should be elevated 30 degrees to reduce pressure on the sella turcica and