The nurse is caring for a patient with Cushing syndrome who is scheduled for a surgical procedure to remove an adrenal cortex tumor
The nurse knows patient teaching regarding the procedure has been effective when the patient makes which statement? 1. "The adrenal gland with the tumor will be removed.".
2. "I will need to take adrenal hormones for the rest of my life.".
3. "The tumor will be removed by the transsphenoidal route.".
4. "I will receive IV cortisol in preparation for the surgery.".
1
Rationale 1: When Cushing syndrome is caused by an adrenal cortex tumor, an adrenalectomy may be performed to remove the tumor.
Rationale 2: Only one adrenal gland is usually involved. As another adrenal gland remains, patients do not need lifetime adrenal hormone replacement.
Rationale 3: Pituitary, not adrenal, tumors are removed transsphenoidally.
Rationale 4: The patient with Cushing syndrome is already experiencing elevated cortisol levels; IV cortisol is not indicated prior to adrenalectomy.
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