Which activity should be restricted for a client following a transsphenoidal hypophysectomy surgery?

Climbing stairs.

Heavy lifting.

Sexual intercourse.

Breathing exercises.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Climbing stairs does not typically lead to an increase in intracranial pressure (ICP) or disrupt the surgical site following transsphenoidal hypophysectomy. Post-operative care focuses on preventing activities that strain the surgical area or elevate ICP, which could compromise healing or lead to cerebrospinal fluid (CSF) leakage. Therefore, this activity is generally not restricted.

Choice B rationale

Heavy lifting significantly increases intra-abdominal and intrathoracic pressure, which directly translates to increased intracranial pressure. This elevation in ICP can disrupt the fragile surgical site in the sphenoid sinus, leading to complications such as cerebrospinal fluid (CSF) leakage or hemorrhage, thereby impeding proper healing and recovery.

Choice C rationale

Sexual intercourse can lead to increased exertion and potential Valsalva maneuvers, which temporarily elevate intracranial pressure. While not as consistently impactful as heavy lifting, the potential for increased pressure and strain on the healing surgical site warrants restriction to minimize the risk of complications such as cerebrospinal fluid leakage.

Choice D rationale

Breathing exercises, such as deep breathing and incentive spirometry, are crucial post-operatively to prevent pulmonary complications like atelectasis and pneumonia. These exercises do not increase intracranial pressure or strain the surgical site; instead, they promote lung expansion and optimize oxygenation, aiding in overall recovery.

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Free Nursing Study Resources

Correct Answer is ["9.5"]

Explanation

Step 1 is: Calculate the total units in 1 mL. 25,000 units ÷ 250 mL = 100 units/mL.

Step 2 is: Calculate the mL/hour. 950 units/hr ÷ 100 units/mL = 9.5 mL/hr. The infusion pump would be set at 9.5 mL/hr.

Correct Answer is ["56"]

Explanation

Step 1 is: Calculate the total minutes the IV needs to run. 2 hours × 60 minutes/hour = 120 minutes.

Step 2 is: Calculate the mL/minute rate. 450 mL ÷ 120 minutes = 3.75 mL/minute.

Step 3 is: Calculate the gtt/minute rate. 3.75 mL/minute × 15 gtt/mL = 56.25 gtt/minute. The current IV rate is 56 gtt/minute.

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Which activity should be restricted for a client following a transsphenoidal hypophysectomy surgery?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The provider orders a Heparin infusion to run 950 units/hr. The medication is supplied as 25,000 units/250 mL NSS. At what rate would the infusion pump be set at?

Correct Answer is ["9.5"]

Explanation

During shift report the nurse is told that there is 450 mL left in a client's IV and it has to run for 2 more hours. If the drip factor is 15 gtt/mL what is the current IV rate?

Correct Answer is ["56"]

Explanation

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