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Week 8 CON
Week 8 Pituitary Disorders
| Question | Answer |
|---|---|
| A 40-year-old female patient tells the nurse, “My health care provider says I have acromegaly, which means my growth hormone is disturbed. I am already 5’10” (1.78 m), and I don’t want to be any taller!” How should the nurse respond? | “You will not get taller because the growth plates closed after puberty.” |
| The nurse is assessing a patient with hypopituitarism. The nurse suspects the presence of a pituitary tumor when assessment reveals which clinical manifestations? | 1.Headache 2. Loss of sense of smell 3. Decrease in visual acuity |
| A nurse is caring for a patient diagnosed with syndrome of inappropriate secretion of antidiuretic hormone (SIADH). Which finding would require the nurse to immediately notify the health care provider? | Confusion |
| The patient with acromegaly is beginning long-acting somatostatin treatment. Which instructions should the nurse provide for this patient? | 1. “You will need to come to the office for intramuscular injections every four weeks.” 2. “You will need to go to the laboratory every two weeks to have blood drawn until your dosage is established.” |
| A nurse is caring for a patient who recently had radiation therapy for a pituitary tumor. The patient states, “I know there were risks involved in the radiation, but I am so glad that I do not have to worry about these anymore.” What is the nurse’s best r | “We still need to monitor for long-term effects for several years.” |
| A nurse is preparing a patient with syndrome of inappropriate secretion of antidiuretic hormone (SIADH) for discharge. Which instruction should the nurse give the patient to address possible fluid retention? | “Weigh yourself daily before breakfast.” |
| The nurse is about to administer a stool softener to a patient who recently had pituitary surgery. The patient states, “I always have regular bowel movements. I don’t want that!” What is the nurse’s best response? | “It is important that you do not strain during bowel movements because this could result in increased pressure on your surgical site.” |
| The nurse is caring for a patient after pituitary surgery. The patient states, “I am going to rest. I am so tired that I can hardly see straight.” What is the nurse’s best response? | “Have you noticed a change in your vision?” |
| While recovering from pituitary surgery, a patient asks the nurse, “Can you change my dressing now? My nose feels like it is running.” Which actions should the nurse take? | 1. Assess the dressing for clear drainage 2. Inform the health care provider of the findings . 3. Check any clear drainage with the urine dipstick |
| The nurse is caring for an older adult who sustained a closed head injury and urinated in the past four hours despite drinking 500 mL of fluid and receiving IV fluids at a rate of 150 mL/hr. Which condition should the nurse suspect in this patient? | Syndrome of inappropriate secretion of antidiuretic hormone (SIADH) |
| The nurse is monitoring a patient recovering from the removal of a brain tumor. The nurse notes that the patient has an increase in urinary output to 450 mL of very light urine in the past hour. Which condition should the nurse suspect in this patient? | Diabetes insipidus (DI) |
| A nurse is assessing a patient with suspected hypopituitarism. Which findings would suggest that the patient may have a deficiency of adrenocorticotropic hormone (ACTH)? | Fasting hypoglycemia and headache |
| A patient is admitted to the intensive care unit because of low urine output, increased body weight, lethargy, and confusion. Serum sodium level is <120 mEq/L. What should the nurse do first? | Administer 3% sodium chloride intravenously at a slow rate |
| The nurse is preparing a patient with suspected diabetes insipidus (DI) for a water deprivation test on the following day. Which information should the nurse provide the patient? | 1. " Your weight will be measured before the test." 2. "We will need to collect your urine in the morning. 3. "You will need to refrain from drinking anything once the test is started." 4. "Multiple specimens of your urine will be collected throughtoudy |
| A nurse is managing a patient with diabetes insipidus (DI). Which order would the nurse question? | Administer 3% sodium chloride by intravenous (IV) infusion |
| The nurse is caring for a patient with diabetes insipidus (DI) who is receiving desmopressin by subcutaneous injection. Which assessment components should the nurse monitor to determine the effectiveness of this treatment? | 1. Vital signs 2. Level of consciousness 3. Intake and output |
| A patient reports having headaches and nausea and appears lethargic on the fifth day after removal of a pituitary tumor. Which is the best explanation of these clinical manifestations? | The patient may be experiencing syndrome of inappropriate secretion of antidiuretic hormone (SIADH) caused by manipulation of the pituitary gland. |
| A patient recovering from a pituitary surgery reports persistent facial pain and headache, especially around the eyes. What are the best actions by the nurse? | 1. Keep the patient in bed. 2. Elevate the head of the bed. |
| A female patient with a history of pituitary surgery is speaking with the nurse. The patient becomes tearful when discussing how the surgery has permanently affected her life. Which factors should the nurse take into consideration when addressing the pati | 1. After pituitary surgery, some people require lifelong hormone replacement therapy. 2. The patient may have infertility resulting from the surgery and might benefit from a support group. |
Created by:
Brandi Sizemore
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