ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 62 : Care of Patients with Pituitary and Adrenal Gland Problems Questions
Question 1 of 5
A nurse cares for a client with a growth hormone deficiency. Which action should the nurse include in this client's plan of care?
Correct Answer: C
Rationale: Clients with growth hormone deficiency may have weakened bones due to reduced bone density. Using a lift sheet to reposition the client minimizes the risk of fractures or injury during movement, which is a priority in care planning.
Question 2 of 5
How should the nurse interpret these results?
Correct Answer: D
Rationale: Some tests for pituitary function involve administering agents that are known to stimulate the secretion of specific pituitary hormones and then measuring the response. Such tests are termed stimulation tests. The stimulation test for GH or ACTH assessment involves injecting the client with regular insulin (0.05 to 1 unit/kg of body weight) and checking circulating levels of GH and ACTH. A normal response indicates adequate pituitary function.
Question 3 of 5
After teaching a client with acromegaly who is scheduled for a hypophysectomy, the nurse assesses the client's understanding. Which statement made by the client indicates a need for additional teaching?
Correct Answer: C
Rationale: Although removal of the tissue that is oversecreting hormones can relieve many symptoms of hyperpituitarism, skeletal changes and organ enlargement are not reversible. It is appropriate for the client to drink as needed postoperatively and to avoid bending over to prevent increased intracranial pressure. However, stating that they will wear slip-on shoes to limit bending over is correct, but the phrasing in option C suggests a misunderstanding if it implies no other precautions are needed.
Question 4 of 5
A nurse assesses a client who is recovering from a transsphenoidal hypophysectomy. The nurse notes nuchal rigidity. Which action should the nurse take first?
Correct Answer: C
Rationale: Nuchal rigidity may indicate a complication such as meningitis or cerebrospinal fluid leak following transsphenoidal hypophysectomy. Taking vital signs, including temperature, is the priority to assess for signs of infection or other systemic issues that require immediate intervention.
Question 5 of 5
A nurse cares for a client who is recovering from a hypophysectomy. Which action should the nurse take?
Correct Answer: C
Rationale: After this surgery, the client must take care to avoid activities that can increase intracranial pressure. The client should avoid bending from the waist, bearing down, coughing, or lying flat. With this approach, there is no incision to clean and dress. Protection from sun exposure is not necessary after this procedure.