After teaching a client with acromegaly who is scheduled for a ...

[kellyjaisingh]

After teaching a client with acromegaly who is scheduled for a hypophysectomy, the nurse assesses the client's understanding. Which statement made by the client indicates a need for additional teaching?
 
  a. I will no longer need to limit my fluid intake after surgery.
  b. I am glad no visible incision will result from this surgery.
  c. I hope I can go back to wearing size 8 shoes instead of size 12.
  d. I will wear slip-on shoes after surgery to limit bending over.

Question 2

A nurse assesses clients for potential endocrine dysfunction. Which client is at greatest risk for a deficiency of gonadotropin and growth hormone?
 
  a. A 36-year-old female who has used oral contraceptives for 5 years
  b. A 42-year-old male who experienced head trauma 3 years ago
  c. A 55-year-old female with a severe allergy to shellfish and iodine
  d. A 64-year-old male with adult-onset diabetes mellitus

[brbarasa]

Answer to Question 1

ANS: C
Although removal of the tissue that is oversecreting hormones can relieve many symptoms of hyperpituitarism, skeletal changes and organ enlargement are not reversible. It will be appropriate for the client to drink as needed postoperatively and avoid bending over. The client can be reassured that the incision will not be visible.

Answer to Question 2

ANS: B
Gonadotropin and growth hormone are anterior pituitary hormones. Head trauma is a common cause of anterior pituitary hypofunction. The other factors do not increase the risk of this condition.

[kellyjaisingh]

Thank you

[brbarasa]

Happy to help you