The nurse is caring for an adult client with a pituitary tumor ...

[jwb375]

The nurse is caring for an adult client with a pituitary tumor resulting in acromegaly. Which of the following assessment findings would be consistent with this diagnosis?
 
  1. Sudden growth spurt to seven feet or more
  2. Enlarged hands, feet, and internal organs
  3. Increased muscular strength in the upper body
  4. Increase in own gender sexual hormone levels

Question 2

The nurse is teaching the diabetic client how to change a dressing on the foot in preparation for discharge. The nurse concludes that the client understood teaching when the client does which of the following?
 
  1. Repeats the stages of the dressing change to the nurse.
  2. Changes the dressing correctly.
  3. Is able to identify the supplies used.
  4. States confidence that the dressing can be changed at home.

[Qarqy]

Answer to Question 1

2
Rationale: Adults, whose epiphysis has closed, cannot undergo a sudden growth spurt, but will have enlarged hands, feet, and internal organs. This results from hypersecretion of growth hormone.

Answer to Question 2

2
Rationale: The best method of evaluating the client's ability to change a dressing is to watch a return demonstration by the client. Verbal understanding does not assure the nurse that the client actually is able to perform the dressing change.

[jwb375]

Excellent

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