After a 22-year-old female patient with a pituitary adenoma has ...

[lracut11]

After a 22-year-old female patient with a pituitary adenoma has had a hypophysectomy, the nurse will teach about the need for
 
  a. sodium restriction to prevent fluid retention.
  b. insulin to maintain normal blood glucose levels.
  c. oral corticosteroids to replace endogenous cortisol.
  d. chemotherapy to prevent malignant tumor recurrence.

Question 2

Which intervention will the nurse include in the plan of care for a 52-year-old male patient with syndrome of inappropriate antidiuretic hormone (SIADH)?
 
  a. Monitor for peripheral edema.
  b. Offer patient hard candies to suck on.
  c. Encourage fluids to 2 to 3 liters per day.
  d. Keep head of bed elevated to 30 degrees.

[af]

Answer to Question 1

ANS: C
Antidiuretic hormone (ADH), cortisol, and thyroid hormone replacement will be needed for life after hypophysectomy. Without the effects of adrenocorticotropic hormone (ACTH) and cortisol, the blood glucose and serum sodium will be low unless cortisol is replaced. An adenoma is a benign tumor, and chemotherapy will not be needed.

Answer to Question 2

ANS: B
Sucking on hard candies decreases thirst for a patient on fluid restriction. Patients with SIADH are on fluid restrictions of 800 to 1000 mL/day. Peripheral edema is not seen with SIADH. The head of the bed is elevated no more than 10 degrees to increase left atrial filling pressure and decrease antidiuretic hormone (ADH) release.

[lracut11]

Thank you

[af]

Happy to help you