Which activity should a client avoid following a transsphenoidal hypophysectomy?

Deep breathing exercises.

Bending over to weed the garden.

Drinking plenty of fluids.

Walking short distances.

Answer and Explanation

The Correct Answer is B

A. Deep breathing exercises is incorrect. Deep breathing exercises are generally encouraged to help with lung expansion and oxygenation following surgery. However, patients should avoid activities that put pressure on the surgical site, such as bending over or lifting heavy objects, but deep breathing is typically safe unless contraindicated.
B. Bending over to weed the garden is correct. After a transsphenoidal hypophysectomy, patients should avoid bending over or activities that could increase intracranial pressure (ICP), such as gardening, lifting heavy objects, or straining. Bending over can increase pressure in the sinus cavities and may affect the healing process of the surgical site.
C. Drinking plenty of fluids is incorrect. Drinking fluids is generally encouraged after surgery to maintain hydration and promote healing. However, some restrictions may apply if there is a risk for diabetes insipidus or fluid imbalance, but the act of drinking fluids itself is typically recommended.
D. Walking short distances is incorrect. Walking short distances is usually encouraged after surgery to promote circulation and prevent complications like deep vein thrombosis (DVT). As long as the patient is feeling stable, walking can help recovery.

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Correct Answer is B

Explanation

A. Discuss the behavior with other colleagues to gain support may provide emotional relief, but it doesn’t formally address the issue or ensure appropriate intervention. It can also risk spreading gossip rather than resolving the conflict.
B. Report the bullying to a supervisor or manager is the most appropriate action. Bullying should be addressed through proper channels to protect the nurse and maintain a safe, professional work environment. Leaders are responsible for enforcing a zero-tolerance policy and can take corrective steps.
C. Ignore the behavior and focus on your work is not a healthy or effective strategy. Ignoring bullying can lead to increased stress, burnout, and decreased job satisfaction, and it allows the behavior to continue unchecked.
D. Confront the experienced nurse directly and demand respect may escalate the situation or lead to further conflict. While direct communication can be part of conflict resolution, it should be done professionally and often with support or guidance from a manager or HR.

A. hypernatremia and hypertension B. hypotension and tachycardia C. increased bone density due to decreases in growth hormone D. hypoglycemia due to decreased ACT and cortisol E. decreased ability to cope with stress secondary to decreased cortisol - F. hyperkalemia secondary to decreased aldosterone

Correct Answer is ["B","D","E","F"]

Explanation

A. Hypernatremia and hypertension is incorrect. In panhypopituitarism, adrenal insufficiency from decreased ACTH results in hyponatremia and hypotension, not hypernatremia and hypertension.
B. Hypotension and tachycardia is correct. Due to decreased ACTH, there is reduced cortisol and aldosterone, leading to low blood pressure and compensatory tachycardia.
C. Increased bone density due to decreases in growth hormone is incorrect. Growth hormone deficiency actually results in decreased bone density, not increased. GH plays a critical role in bone growth and maintenance.
D. Hypoglycemia due to decreased ACTH and cortisol is correct. Without sufficient cortisol, glucose regulation is impaired, increasing the risk of hypoglycemia.
E. Decreased ability to cope with stress secondary to decreased cortisol is correct. Cortisol is essential for the stress response, and its deficiency leads to poor tolerance to physical and emotional stress.
F. Hyperkalemia secondary to decreased aldosterone is correct. Low ACTH leads to adrenal insufficiency, which can reduce aldosterone production, causing sodium loss and potassium retention (hyperkalemia).

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Which activity should a client avoid following a transsphenoidal hypophysectomy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A new-to-practice nurse is experiencing bullying from an experienced nurse. What is the most appropriate action to take in this situation?

Correct Answer is B

Explanation

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