A client with hyperpituitarism tells the nurse that he thinks he looks different now than he did 5 years ago. The nurse's most appropriate response to this remark considers that the client is
a. experiencing a sensory disturbance and needs reorientation.
b. having visual disturbances and may need a ophthalmologist consult.
c. making bizarre comments because of increased intracranial pressure and needs a neurosurgical consult.
d. referring to physical changes from acromegaly and needs emotional support.
D
In the adult with acromegaly (increased growth hormone after epiphyseal closure), bones increase in thickness, and there is increase in soft tissue growth. Clients with hyperpituitarism do need careful assessment of neurologic status and an ophthalmologic exam before surgery.
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