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 B

Explanation

Choice A reason: The statement "Because of the dysrhythmia, blood backs up in the legs and puts you at risk for blood clots" is incorrect. Atrial fibrillation primarily causes blood to pool in the atria, not the legs.

Choice B reason: The statement "Because the atria are quivering, blood flows sluggishly through them, and clots can form along the heart wall, which then could loosen and travel to the lungs or brain" accurately explains the risk of clot formation in atrial fibrillation and the importance of anticoagulant therapy to prevent strokes and other complications.

Choice C reason: The statement "The medications that you are taking cause blood clots as a side effect so you need this medication to prevent them" is incorrect. Anticoagulant therapy in atrial fibrillation is used to prevent clot formation due to the arrhythmia itself, not as a counteraction to the side effects of other medications.

A. "You will not need any special treatment after surgery." B. "You will need to undergo chemotherapy after surgery." C. "You will need to wear an abdominal binder after surgery." D. "You will need to take daily hormone replacement medications after surgery."

Correct Answer is D

Explanation

Choice A reason: Telling the client they will not need any special treatment after surgery is inaccurate. Bilateral adrenalectomy results in the removal of both adrenal glands, which produce essential hormones.

Choice B reason: Chemotherapy is not a standard post-surgical treatment for an adrenalectomy unless there is a specific indication. This statement may cause unnecessary concern for the client.

Choice C reason: An abdominal binder is not typically required after a bilateral adrenalectomy. This information is not relevant to the client's post-surgical needs.

Choice D reason: After a bilateral adrenalectomy, the client will need daily hormone replacement medications for life, as the adrenal glands are responsible for producing essential hormones like cortisol and aldosterone

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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 teaching a client with atrial fibrillation about the need to begin long-term anticoagulant therapy. Which explanation should the nurse use to best describe the reasoning for this therapy?

Correct Answer is B

Explanation

The nurse is caring for a client scheduled for a bilateral adrenalectomy for treatment of an adrenal tumor. What information should the nurse give the client about the post-surgical needs?

Correct Answer is D

Explanation

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