Exam 41: Coordinating Care for Patients With Pituitary Disorders

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The nurse recognizes that the patient with dysfunction of the posterior pituitary gland is at risk for which disorder?

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C

The nurse incorporates which information into the patient teaching for a patient with hypopituitarism?

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C

In providing care to a patient after a transsphenoidal hypophysectomy, the nurse notes that the patient's serum sodium level is 140 mEq/L (140 mmol/L). Which intravenous fluid prescription does the nurse question?

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C

The nurse is reviewing medications prescribed for a patient with hypopituitarism. Which medications are indicated for the treatment of this disorder?

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A male patient presents to the clinic with complaints of changes in his facial features and enlarged, painful hands. The nurse correlates these clinical manifestations with a disorder of which hormone?

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The nurse provides discharge instruction to a patient who had a transsphenoidal hypophysectomy. Which patient statement indicates a need for additional teaching?

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A patient with osteoarthritis develops syndrome of inappropriate antidiuretic hormone (SIADH). What information in the patient's history does the nurse correlate to the development of this disorder?

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A patient with hypopituitarism is experiencing muscle weakness. Which referral should the nurse make to help this patient?

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The nurse provides teaching to a patient who is newly diagnosed with hypopituitarism. Which patient statement indicates that teaching was effective in relationship to medication management?

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The nurse is calculating the fluid intake for a patient after a transsphenoidal hypophysectomy. The patient has received 75 mL/hour of intravenous fluids for the last 24 hours and consumed two 8-ounce cups of water. What is the total fluid intake?

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The nurse is reviewing discharge instructions with a patient being treated with desmopressin (DDAVP) for diabetes insipidus (DI). What should the nurse direct the patient to do regarding changes in body weight?

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A patient's thyroid-stimulating hormone (TSH) is below normal. The nurse correlates which findings to this decreased hormone level? Select all that apply.

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In reviewing laboratory results from a patient demonstrating clinical manifestations of diabetes insipidus (DI), which results does the nurse correlate with a definitive diagnosis? Select all that apply.

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The nurse is preparing discharge teaching for a patient recovering from a transsphenoidal hypophysectomy for a pituitary tumor. What should the nurse emphasize in this teaching? Select all that apply.

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A patient is being discharged after surgery for hyperpituitarism. The nurse incorporates which information to reduce the risk of postoperative complications?

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In assessing a patient diagnosed with hypopituitarism, the nurse correlates the function of which additional structure to determine the root cause of this disorder?

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In providing care to a patient who is newly diagnosed with acromegaly, which clinical manifestations does the nurse correlate with this disorder? Select all that apply.

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The nurse monitors for which clinical manifestation in the patient diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH)?

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A patient with syndrome of inappropriate antidiuretic hormone (SIADH) is experiencing a headache and confusion. The nurse correlates which laboratory result to this clinical presentation of SIADH?

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A patient is demonstrating signs of hypopituitarism. The nurse monitors results from which diagnostic test for this disorder?

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