A nurse is monitoring a client post-hypophysectomy. Which assessment finding is most important to report to the health care provider?

Abdominal pain

Urticaria of the arms

Persistent nasal drainage

Pain during urination

Answer and Explanation

The Correct Answer is C

Choice A reason: Abdominal pain is not a typical complication of hypophysectomy and is less urgent compared to other potential complications.

Choice B reason: Urticaria (hives) of the arms can indicate an allergic reaction but is not directly related to the surgery. It requires attention but is not the most critical finding.

Choice C reason: Persistent nasal drainage following hypophysectomy could indicate a cerebrospinal fluid (CSF) leak, which is a serious complication. CSF leaks require immediate medical attention to prevent meningitis and other complications.

Choice D reason: Pain during urination is not directly related to the hypophysectomy and is less urgent compared to other potential complications.

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Correct Answer is ["A","B","D"]

Explanation

Choice A reason: Nausea is a common symptom of digoxin toxicity. Elevated levels of digoxin can cause gastrointestinal disturbances, including nausea.

Choice B reason: Vomiting is also a common symptom of digoxin toxicity. The medication can irritate the stomach and lead to vomiting.

Choice D reason: Hyperglycemia is not typically associated with digoxin toxicity. This symptom is unrelated to the effects of elevated digoxin levels.

Choice E reason: Photophobia is not a common symptom of digoxin toxicity. Symptoms of digoxin toxicity are more likely to be gastrointestinal or cardiovascular in nature.

A. Mineralocorticoids B. Calcitonin C. Thyroxine (T4) D. Triiodothyronine (T3) E. Glucocorticoids

Correct Answer is ["C","D"]

Explanation

Choice A reason: Mineralocorticoids are produced by the adrenal glands and regulate sodium and potassium balance, not typically associated with the symptoms of myxedema.

Choice B reason: Calcitonin is involved in calcium metabolism and is not related to the symptoms of myxedema.

Choice C reason: Thyroxine (T4) is a thyroid hormone essential for regulating metabolism. A deficiency in T4 leads to symptoms such as fatigue, cold intolerance, and myxedema.

Choice D reason: Triiodothyronine (T3) is another thyroid hormone crucial for metabolism regulation. A lack of T3, along with T4, contributes to the symptoms of myxedema.

Choice E reason: Glucocorticoids are produced by the adrenal glands and are involved in stress response and metabolism, but are not directly related to myxedema.

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A nurse is monitoring a client post-hypophysectomy. Which assessment finding is most important to report to the health care provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who was prescribed digoxin. Which manifestations correlate with a digoxin level of 3.0 (Range: 0.8-2.0)? (Select all that apply)

Correct Answer is ["A","B","D"]

Explanation

A client with myxedema reports experiencing fatigue, cold intolerance, and swelling around the eyes and face. The nurse plans care, understanding that these clinical manifestations are caused by a lack of or diminished production of which hormones? (Select all that apply)

Correct Answer is ["C","D"]

Explanation

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The nurse is caring for a client post-thyroidectomy that is showing clinical manifestations of hypocalcemia. Which of the following would the nurse expect to find during the assessment?