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 ["A","B","D"]

Explanation

A. Moon face is correct. One of the classic features of Cushing's Syndrome is moon face, which is characterized by a round, puffy appearance of the face due to fat redistribution.
B. Buffalo hump is correct. Buffalo hump, a fat accumulation on the upper back or neck, is another hallmark symptom of Cushing's Syndrome due to abnormal fat distribution caused by excess cortisol.
C. Tremors is incorrect. While tremors may occur due to other conditions or medications, they are not a typical manifestation of Cushing's Syndrome. The disease primarily leads to symptoms related to fat distribution, metabolic changes, and skin alterations.
D. Hypertension is correct. Hypertension (high blood pressure) is common in Cushing's Syndrome due to the increased levels of cortisol, which can lead to fluid retention and increased blood pressure.
E. Cardiac irregularities is incorrect. While Cushing's Syndrome can cause hypertension and potentially increase the risk of cardiovascular disease, cardiac irregularities (like arrhythmias) are not primary manifestations of the condition. However, it is important to monitor for cardiovascular issues as the syndrome progresses.

A. Team members may be very good at time management but poor on job satisfaction. B. Team members experience disagreements among themselves. C. Productivity is high with low job satisfaction D. The staff may be very knowledgeable but have lack of focus on the job at hand.

Correct Answer is D

Explanation

A. Team members may be very good at time management but poor on job satisfaction is incorrect. While a laissez-faire leader may allow autonomy, it typically leads to a lack of direction and focus rather than improved time management. Job satisfaction can often be lower because team members may feel unsupported or unclear about expectations.
B. Team members experience disagreements among themselves is incorrect. Although lack of leadership can lead to some conflicts, the key characteristic of a laissez-faire leadership style is often lack of direction, not necessarily an increase in conflict. The absence of leadership can lead to confusion, but not always direct conflict among team members.
C. Productivity is high with low job satisfaction is incorrect. With a laissez-faire leadership style, productivity is often lower due to the lack of structure, guidance, and accountability. When people are not guided or supervised, their performance typically suffers.
D. The staff may be very knowledgeable but have lack of focus on the job at hand is correct. A laissez-faire leadership style involves little to no direction or supervision, allowing team members to make their own decisions. This can lead to knowledgeable staff, but without proper guidance or a strong focus on the tasks at hand. Lack of direction and focus often results in poor organizational performance and low motivation.

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Which activity should a client avoid following a transsphenoidal hypophysectomy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has Cushing's Syndrome. The nurse should recognize that which of the following are manifestations of Cushing's Syndrome? (Select all that apply.)

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

Explanation

A new nurse leader has adopted a laissez-faire style of leadership that may result in what characteristics of those who report to this leader?

Correct Answer is D

Explanation

What was the item in the suicidal client's room during the safety exercise at school that was on the back of the chair? The:

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