Lewis's Chapter 49: Endocrine Problems Test Bank | NEWEST 2024-2025 UPDATED ACTUAL TEST BANK WITH OVER QUESTIONS WITH RATIONALES AND CORRECT VERIFIED ANSWERS FOR GUARANTEED EXAM EXCELLENCE| ALREADY GRADED A+

Lewis's Chapter 49: Endocrine
Problems Test Bank | NEWEST
2024-2025 UPDATED ACTUAL
TEST BANK WITH OVER
QUESTIONS WITH RATIONALES
AND CORRECT VERIFIED
ANSWERS FOR GUARANTEED
EXAM EXCELLENCE| ALREADY
GRADED A+
A 40-year-old patient 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 a family history of acromegaly?"
d. "Are you experiencing tremors or anxiety?" -
ANSWER-ANS: 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.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Assessment MSC: NCLEX:
Physiological Integrity
A patient is scheduled for transsphenoidal
hypophysectomy to treat a pituitary adenoma.
What
should the nurse include in preoperative
teaching?
a. Cough and deep breathe every 2 hours
postoperatively.
b. Remain on bed rest for the first 48 hours
postoperatively.
c. Avoid brushing teeth for at least 10 days
after the surgery.
d. You will be positioned flat with a cervical
collar after surgery. - ANSWER-ANS: C
Rationale.
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
decrease the risk for headaches. A cervical
collar is not needed.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Implementation MSC:
NCLEX: Physiological Integrity
The nurse is planning postoperative care for a
patient who is being admitted to the surgical
unit from the recovery room after
transsphenoidal resection of a pituitary tumor.
Which
nursing action should be included?
a. Palpate extremities for edema.
b. Measure urine volume every hour.
c. Check hematocrit every 2 hours for 8 hours.
d. Monitor continuous pulse oximetry for 24
hours. - ANSWER-ANS: B
Rationale.
After pituitary surgery, the patient is at risk for
diabetes insipidus caused by cerebral edema.
Monitoring of urine output and urine specific
gravity is essential. Hemorrhage is not a
common problem. There is no need to check
the hematocrit hourly. The patient is at risk for
dehydration, not volume overload. The patient
is not at high risk for problems with
oxygenation, and continuous pulse oximetry is
not needed.
DIF: Cognitive Level: Apply (application) TOP:
Nursing Process: Planning
MSC: NCLEX: Physiological Integrity