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
You might also like to view...
The nurse is documenting the interdisciplinary team report on an adolescent client who has a 35-degree Cobb angle confirmed by x-ray. Which interventions are appropriate for this client?
Select all that apply. A) Obtaining a physical therapy consult prior to surgical intervention B) Maintaining the existing curvature with no increase C) Bracing for 12-23 hours per day and support group referral D) Administering non-opioid analgesics and TLSO or Milwaukee brace E) Instructing on exercises and appropriate support groups
If a researcher wanted to assess how well an evidence-based protocol for encouraging adolescent mothers to breastfeed was meeting its objectives, the research would be which of the following?
A) Survey B) Evaluation C) Methodologic research D) Secondary analysis
When caring for a confused patient who has a history of falls, a nurse demonstrates caring when
1. Removing the patient's night-light. 2. Keeping the patient's bed in the highest position at all times. 3. Having the patient sit in a rocking chair near the nurses' station. 4. Offering infrequent opportunities for the patient to go to the bathroom.
Which family will most likely have the greatest difficulty in coping with an ill child?
a. A single-parent mother who has the support of her parents and siblings b. Parents who have just moved to the area and are living in an apartment while they look for a house c. The family of a child who has had multiple hospitalizations related to asthma and has adequate relationships with the nursing staff d. A family in which there is a young child and four older married children who live in the area