MED SURG EXAM 4 QUESTIONS WITH COMPLETE SOLUTIONS .GRADED A+
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Course
Med surg
Institution
Med Surg
MED SURG EXAM 4 QUESTIONS WITH
COMPLETE SOLUTIONS
.GRADED A+
MED SURG EXAM 4 QUESTIONS WITH
COMPLETE SOLUTIONS
.GRADED A+
MED SURG EXAM 4 QUESTIONS WITH
COMPLETE SOLUTIONS
.GRADED A+
MED SURG EXAM 4 QUESTIONS WITH
COMPLETE SOLUTIONS
.GRADED A+
MED SURG EXAM 4 QUESTIONS...
MED SURG EXAM 4 QUESTIONS WITH COMPLETE SOLUTIONS 2023 -2024 .GRADED A+ A 45 -year-old male patient with suspected acromegaly is seen at the clinic. To assist in making the diagnosis, which question should the nurse ask? a. Have y ou had a recent head injury? b. Do you have to wear larger shoes now? c. Is there a family history of acromegaly? d. Are you experiencing tremors or anxiety - ANSWER -ANS: B Acromegaly causes an enlargement of the hands and feet. Head injury and family his tory are not risk factors for acromegaly. Tremors and anxiety are not clinical manifestations of acromegaly A 42 -year-old female patient is scheduled for transsphenoidal hypophysectomy to treat a pituitary adenoma. During preoperative teaching, the nurse instructs the patient about the need to a. cough and deep breathe every 2 hours postoperatively. b. remain on bed rest for the first 48 hours after the surgery. c. avoid brushing teeth for at least 10 days after the surgery. d. be positioned flat with sandbags at the head postoperativel - ANSWER -ANS: C To avoid disruption of the suture line, the patient should avoid brushing the teeth for 10 days after surgery. It is not necessary to remain on bed rest after this surgery. Coughi ng is discouraged because it may cause leakage of cerebrospinal fluid (CSF) from the suture line. The head of the bed should be elevated 30 degrees to reduce pressure on the sella turcica and decrease the risk for headache The nurse is planning postoperat ive care for a patient who is being admitted to the surgical unit form the recovery room after transsphenoidal resection of a pituitary tumor. Which nursing action should be included? a. Palpate extremities for edema. b. Measure urine volume every hour. c. Check hematocrit every 2 hours for 8 hours. d. Monitor continuous pulse oximetry for 24 hours - ANSWER -ANS: B After pituitary surgery, the patient is at risk for diabetes insipidus caused by cerebral edema. Monitoring of urine output and urine specific g ravity is essential. Hemorrhage is not a common problem. There is no need to check the hematocrit hourly. The patient is at risk for dehydration, not volume overload. The patient is not at high risk for problems with oxygenation, and continuous pulse oxime try is not needed The nurse is assessing a 41 -year-old African American male patient diagnosed with a pituitary tumor causing panhypopituitarism. Assessment findings consistent with panhypopituitarism include a. high blood pressure. b. decreased facial hair. c. elevated blood glucose. d. tachycardia and cardiac palpitations - ANSWER -ANS: B
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