A patient with a diagnosis of acromegaly related to a benign pituitary tumor is scheduled to have surgical removal of the tumor by the transsphenoidal route
Which statement by the patient would indicate that the nurse's teaching regarding the procedure has been effective? 1. "I will clean my teeth and gums with a soft foam sponge after the procedure.".
2. "I should choose a wig before my head is shaved.".
3. "There may be drainage from my ears for a day or two after surgery.".
4. "Surgical placement marks on my head will wash off with soap and water.".
1
Rationale 1: Acromegaly is treated by surgical removal or irradiation of the pituitary tumor. A transsphenoidal or transfrontal surgical procedure is most commonly performed. The transsphenoidal route requires that the nurse and patient clean the upper teeth carefully for at least 2 weeks after the surgery to maintain an intact suture line.
Rationale 2: These procedures do not require shaving of the head.
Rationale 3: Although patients should be educated to monitor for drainage of clear fluid from the transsphenoidal site, drainage should not be observed from the ear following this procedure.
Rationale 4: These procedures do not require marking of the scalp.
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