A patient with acromegaly is treated with a transsphenoidal hypophysectomy. What should the nurse do postoperatively?

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Endocrine System Multiple Choice Questions Questions

Question 1 of 5

A patient with acromegaly is treated with a transsphenoidal hypophysectomy. What should the nurse do postoperatively?

A. Ensure that any clear nasal drainage is tested for glucose. B. Maintain the patient flat in bed to prevent cerebrospinal fluid (CSF) leakage. C. Assist the patient with toothbrushing every 4 hours to keep the surgical area clean. D. Encourage deep breathing, coughing, and turning to prevent respiratory complications.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

During discharge teaching for the patient with Addison's disease, which statement by the patient indicates that the nurse needs to do additional teaching?

A. I should always call the doctor if I develop vomiting or diarrhea. B. If my weight goes down, my dosage of steroid is probably too high. C. I should double or triple my steroid dose if I undergo rigorous physical exercise. D. I need to carry an emergency kit with injectable hydrocortisone in case I can't take my medication by mouth.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

Mrs. Crane, an insulin-dependent diabetic, is scheduled for general surgery. The nurse's preoperative teaching should place special emphasis on

A. pain medications available postoperatively B. coughing and deep breathing C. early ambulation D. adjusting insulin requirements

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

Mrs. A., a 50-year-old female, has had symptoms of Cushing syndrome for several years. Mrs. A. states she is 5'5\ tall and weighs 160 lb but the nurse who measured and weighed Mrs. A. states she is only 5' tall. What is the best explanation for this discrepancy?"

A. Mrs. A. is old and forgetful B. Mrs. A. has had previous back surgery C. The nurse has measured Mrs. A. incorrectly D. Osteoporosis and kyphosis have caused height loss

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

Addison's disease frequently causes skin pigment changes. When teaching the patient about medications used for Addison's disease, it is important that he or she understands:

A. To take plenty of water (at least 8 ounces or 240 mL) with the medication. B. Proper subcutaneous injection technique. C. That they continue for life. D. That they can be stopped when symptoms abate.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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