A patient with Cushing syndrome as a result of a pituitary tumor has been admitted for a transsphenoidal hypophysectomy. What would be most important for the nurse to monitor before, during, and after surgery?
A) Blood glucose
B) Assessment of urine for blood
C) Weight
D) Oral temperature
Ans: A
Feedback:
Before, during, and after this surgery, blood glucose monitoring and assessment of stools for blood are carried out. The patient's blood sugar is more likely to be volatile than body weight or temperature. Hematuria is not a common complication.
You might also like to view...
The LVN/LPN is assisting the physician with a bedside procedure that requires anesthesia. While assisting, which tasks may be delegated to the LPN/LVN?
a. Locate the anesthetic for the physician. b. Explain the procedure to the patient. c. Administer IM preoperative medication. d. Inject the local anesthetic into the patient. e. Prepare IV medication.
A nurse needs to administer an intramuscular injection to a client in the deltoid site. Which of the following actions will reduce the risk of damaging the client's radial nerve or artery?
A) Avoid asking the client to lie down or sit. B) Aspirate for blood return from the tissue. C) Draw an imaginary line at the axilla between the acromion and brachial vessels. D) Pull the tissue laterally until it is taut.
A severe deficiency of carbohydrates may lead to
a. dental caries. b. electrolyte imbalance. c. problems with body tissue healing. d. obesity.
A nurse is visiting a patient who has been discharged to home for a follow-up evaluation. The patient was diagnosed with diabetes many years ago. She has been hospitalized multiple times with infections and renal insufficiency
She now needs dialysis on a regular basis. Which of the following actions would support a therapeutic relationship between the nurse and family? 1. The nurse needs to limit the time given to the family to tell their story to stay focused on the patient. 2. The wound care and weight assessments are the priorities during this visit. 3. Using linear questioning techniques will help the family share their understandings of the situation. 4. Spending time assessing the patient's symptoms and the family's experiences will produce best outcomes.