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 D

Explanation

Choice A reason: Increased temperature is a common symptom of many infections, including otitis media, but it does not specifically indicate a tympanic membrane rupture. Fever may accompany the infection but is not a definitive sign of membrane rupture.

Choice B reason: Sudden pain relief can be an indicator of a tympanic membrane rupture in otitis media. This occurs because the pressure built up in the middle ear is suddenly released when the membrane ruptures. However, it is not the only definitive sign.

Choice C reason: A popping sensation when swallowing is a symptom associated with eustachian tube dysfunction rather than a tympanic membrane rupture. It indicates that there is a change in the pressure within the middle ear but not necessarily a rupture.

Choice D reason: Green-blue discharge in the ear canal is a classic sign of a tympanic membrane rupture. This discharge is usually pus mixed with blood from the middle ear and indicates that the membrane has ruptured, allowing the fluid to drain out. This finding is definitive and requires medical attention.

A. Cullen's sign B. Bradykinesia C. Pill rolling D. Unilateral tremors E. Swan neck deformity

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

Explanation

Choice A reason: Cullen's sign is a physical finding of bruising around the umbilicus, often associated with intra-abdominal bleeding or pancreatitis. It is not related to Parkinson's disease.

Choice B reason: Bradykinesia, or slowed movement, is a hallmark symptom of Parkinson's disease. It affects the ability to initiate and control movements.

Choice C reason: Pill rolling is a characteristic hand tremor seen in Parkinson's disease. It involves a rhythmic movement of the fingers as if rolling a small object between them.

Choice D reason: Unilateral tremors, or tremors occurring on one side of the body, are often one of the early signs of Parkinson's disease. The tremors typically start on one side and may progress to affect both sides.

Choice E reason: Swan neck deformity is a feature of rheumatoid arthritis, involving deformity of the fingers. It is not associated with Parkinson's disease.

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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

A nurse is caring for a child who has otitis media with effusion. The nurse should identify that which of the following manifestations indicates a tympanic membrane rupture?

Correct Answer is D

Explanation

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

Explanation

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