The care of a postoperative hypophysectomy patient, in whom the entire pituitary was removed, would include:

1. strict intake and output.
2. keeping patient flat in bed for the first 24 hours.
3. withholding analgesics to assess level of consciousness better.
4. mouth care with thorough cleansing of the oral cavity.


1
With the removal of the entire pituitary, the patient will have no effective antidiuretic hor-mone (ADH) and will excrete large amounts of urine. The patient is usually kept in a semi-Fowler's position and medicated as needed for pain. Because of the graft, mouth care is minimal, if done at all.

PTS: 1 DIF: Cognitive Level: Analysis REF: 958
OBJ: 4 TOP: Hypophysectomy
KEY: Nursing Process Step: Evaluation MSC: NCLEX: Physiological Integrity

Nursing

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