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Nursing Management: Endocrine Conditions

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Lewis's Medical Surgical Nursing in Canada, 5th Edition
Nursing Management: Endocrine Conditions

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Question 1 of 5

The nurse is assessing a patient with suspected acromegaly at the clinic. When completing the subjective inquiry, which question should the nurse ask?

A. Have you had a recent head injury?

B. Do you have to wear larger shoes now?

C. Are you experiencing tremors or anxiety?

D. Is there any family history of acromegaly?

Correct Answer:

Rationale:

Question 2 of 5

The nurse is providing preoperative teaching for a patient scheduled for a hypophysectomy for treatment of a pituitary adenoma. Which of the following instructions should the nurse include in patient teaching?

A. Cough and deep breathe every 2 hours postoperatively

B. Bed rest for the first 24 hours after the surgery

C. Be positioned flat with sandbags at the head postoperatively

D. Have a NG tube after the surgery

Correct Answer:

Rationale:

Question 3 of 5

The nurse is caring for a patient who has had a transsphenoidal resection of a pituitary tumour. Which of the following nursing actions should be included in the postoperative plan of care?

A. Monitor urine output every hour.

B. Palpate extremities for dependent edema.

C. Check hematocrit hourly for first 12 hours.

D. Obtain continuous pulse oximetry for 24 hours.

Correct Answer:

Rationale:

Question 4 of 5

A patient is suspected of having a pituitary tumour causing panhypopituitarism. During assessment of the patient, which of the following findings should the nurse anticipate?

A. High blood pressure

B. Elevated blood glucose

C. Tachycardia and cardiac palpitations

D. Changes in secondary sex characteristics

Correct Answer:

Rationale:

Question 5 of 5

Which of the following information should the nurse include when teaching a patient about use of somatropin?

A. The medication will improve vaginal dryness.

B. Inject the medication subcutaneously every day.

C. Blood glucose levels will decrease when taking the medication.

D. Stop taking the medication if swelling of the hands or feet occurs.

Correct Answer:

Rationale:

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