Following a hypophysectomy for a pituitary tumor, the client is ...

[madam-professor]

Following a hypophysectomy for a pituitary tumor, the client is monitored for the presence of diabetes insipidus. Which finding indicates this condition?
 
  1. Hyponatremia
  2. Fluid retention and dependent edema
  3. A large amount of dilute urine
  4. A rise in blood pressure

Question 2

A client is scheduled for transsphenoidal microsurgery for removal of a pituitary adenoma. Which preoperative instruction should the nurse include?
 
  1. The client may not use a toothbrush for several days after surgery to prevent injury to the surgical site.
  2. Turn, deep breathe and cough every 2 hours.
  3. The client must remain supine in bed, with sandbags alongside her head to prevent movement.
  4. The client will have to take replacement growth hormone for the rest of her life.

[ciecieme]

Answer to Question 1

Answer: 3

1. Hypernatremia occurs.
2. Dehydration occurs.
3. Diabetes insipidus results in polyuria, polydipsia, and dehydration secondary to a decreased antidiuretic hormone secretion.
4. Hypotension occurs.

Answer to Question 2

Answer: 1

1. Tooth brushing could disrupt the incision, which is in the roof of the mouth.
2. Coughing increases intracranial pressure.
3. A semi-Fowler's to Fowler's position facilitates breathing.
4. Lifelong replacement of pituitary hormones is necessary.