This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: After a 22-year-old female patient with a pituitary adenoma has had a hypophysectomy, the nurse will ... (Read 43 times)

lracut11

  • Hero Member
  • *****
  • Posts: 536
on: Jun 25, 2018
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.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

af

  • Sr. Member
  • ****
  • Posts: 356
Reply #1 on: Jun 25, 2018
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

  • Hero Member
  • *****
  • Posts: 536
Reply #2 on: Jun 25, 2018
Thank you :)


af

  • Sr. Member
  • ****
  • Posts: 356
Reply #3 on: Jun 25, 2018
Happy to help you


« previous next »
 

Did you know?

Walt Disney helped combat malaria by making an animated film in 1943 called The Winged Scourge. This short film starred the seven dwarfs and taught children that mosquitos transmit malaria, which is a very bad disease. It advocated the killing of mosquitos to stop the disease.

Did you know?

The top 10 most important tips that will help you grow old gracefully include (1) quit smoking, (2) keep your weight down, (3) take supplements, (4) skip a meal each day or fast 1 day per week, (5) get a pet, (6) get medical help for chronic pain, (7) walk regularly, (8) reduce arguments, (9) put live plants in your living space, and (10) do some weight training.

Did you know?

People who have myopia, or nearsightedness, are not able to see objects at a distance but only up close. It occurs when the cornea is either curved too steeply, the eye is too long, or both. This condition is progressive and worsens with time. More than 100 million people in the United States are nearsighted, but only 20% of those are born with the condition. Diet, eye exercise, drug therapy, and corrective lenses can all help manage nearsightedness.

Did you know?

Asthma-like symptoms were first recorded about 3,500 years ago in Egypt. The first manuscript specifically written about asthma was in the year 1190, describing a condition characterized by sudden breathlessness. The treatments listed in this manuscript include chicken soup, herbs, and sexual abstinence.

Did you know?

There are approximately 3 million unintended pregnancies in the United States each year.

Proper placement and monitoring of an automatic blood pressure cuff will reduce the risk of injury o Proper placement and monitoring of an automatic blood pressure cuff will reduce the risk of injury o
Patient with typical rheumatoid arthritis contractures. Patient with typical rheumatoid arthritis contractures.
Patient conditions not appropriate for elctronic blood pressure measurement Patient conditions not appropriate for elctronic blood pressure measurement
The human hypothalamus (in color) in relation to the optic chiasm and the pituitary gland. The human hypothalamus (in color) in relation to the optic chiasm and the pituitary gland.
The development of the internal ducts of the male and female reproductive systems from the Wolffian ... The development of the internal ducts of the male and female reproductive systems from the Wolffian ...
Video: Regulation of GFR: autoregulation via myogenic mechanism Myogenic mechanism

For a complete list of videos, visit our video library