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","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).

A. Elevated body temperature and profuse sweating. B. Weight gain and cold intolerance C. Muscle weakness and fatigue D. Bradycardia and low blood pressure

Correct Answer is A

Explanation

A. Elevated body temperature and profuse sweating is correct. Thyroid storm (also known as thyrotoxicosis) is a severe, life-threatening exacerbation of hyperthyroidism. Common signs include elevated body temperature (fever), profuse sweating, tachycardia, hypertension, and agitation, all of which are indicative of this condition.
B. Weight gain and cold intolerance is incorrect. These are signs of hypothyroidism, not hyperthyroidism or thyroid storm. In hyperthyroidism, weight loss and heat intolerance are more typical.
C. Muscle weakness and fatigue is incorrect. While muscle weakness and fatigue can occur in hyperthyroidism, they are more commonly seen in chronic hyperthyroidism rather than in the acute setting of thyroid storm, where more extreme symptoms such as fever and tachycardia are prominent.
D. Bradycardia and low blood pressure is incorrect. Bradycardia and low blood pressure are signs of hypothyroidism, not hyperthyroidism or thyroid storm, where you would expect tachycardia and elevated blood pressure.

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Which activity should a client avoid following a transsphenoidal hypophysectomy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following are common assessment findings in a client with panhypopituitarism? (Select All that Apply.)

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

Explanation

Which of the following assessments would be most indicative of thyroid storm (thyrotoxicosis) in a client with poorly managed hyperthyroidism?

Correct Answer is A

Explanation

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