Deck 41: Coordinating Care for Patients With Pituitary Disorders

Question 1

A patient is being evaluated for possible hyperpituitarism.Which manifestation most likely caused this patient to seek medical treatment?

A) Hair loss
B) Headaches
C) Sore throat
D) Muscle cramps

Answer 1

Headaches

Question 2

A patient is recovering from surgery to remove a pituitary tumor.Why should the nurse schedule frequent mouth care for this patient?

A) Medications dry mucous membranes
B) Maintenance of nothing by mouth status
C) Mouth breathing because of nasal packing
D) Stomatitis caused by the hormone imbalance

Answer 2

Mouth breathing because of nasal packing

Question 3

The nurse is reviewing laboratory values for a female patient who has had minimal urine output over the last shift.Which finding suggests that this patient may be experiencing syndrome of inappropriate antidiuretic hormone (SIADH)?

A) Hematocrit 40%
B) Serum sodium 136 mEq/L
C) Urine specific gravity 1.035
D) Serum potassium 3.9 mEq/L

Answer 3

Urine specific gravity 1.035

Question 4

The patient is preparing discharge teaching for a patient recovering from surgery to treat hyperpituitarism.Which interdisciplinary team member should be consulted to ensure medication teaching is appropriate?

A) Surgeon
B) Pharmacist
C) Charge nurse
D) Endocrinologist

Question 5

A patient is suspected of having a disorder of the posterior pituitary gland.For which additional health problem should the nurse anticipate planning care for this patient?

A) Acromegaly
B) Osteoporosis
C) Diabetes insipidus
D) Type 1 diabetes mellitus

Question 6

The nurse is reviewing orders written for a patient with hypopituitarism.What should the nurse expect to be prescribed for this patient?

A) Diuretics
B) Antibiotics
C) Antihypertensives
D) Electrolyte supplements

Question 7

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

A) Home care
B) Physical therapy
C) Recreational therapy
D) Occupational therapy

Question 8

A patient is diagnosed with hypopituitarism.Which additional body structure will most like be examined to determine the root cause of this disorder?

A) Thyroid
B) Cerebrum
C) Hypothalamus
D) Parathyroid glands

Question 9

A patient with syndrome of inappropriate antidiuretic hormone (SIADH)is experiencing a headache and confusion.Which laboratory test would best explain the reason for this patient's symptoms?

A) Sodium
B) Calcium
C) Potassium
D) Hematocrit

Question 10

A patient with osteoarthritis develops the syndrome of inappropriate antidiuretic hormone (SIADH).What information in the patient's history should the nurse identify as being the best reason for the development of this disorder?

A) Male gender
B) Age 70 years
C) Use of NSAIDs
D) African American

Question 11

The bone density report for a patient with hypopituitarism shows areas of thinning and demineralization.What teaching should the nurse prepare for this patient?

A) Importance of avoiding extremes in temperature
B) Need to reduce exposure to people with infections
C) Food sources containing high amounts of calcium
D) Strategies to increase rest periods throughout the day

Question 12

The nurse is reviewing orders written for a patient with syndrome of inappropriate antidiuretic hormone (SIADH).Which order should the nurse clarify?

A) No added salt diet
B) Fluid restriction 1L/day
C) IV fluids 0.9% normal saline 125 mL/hr
D) Furosemide (Lasix)
20 mg by mouth every day

Question 13

A patient is being discharged after surgery for hyperpituitarism.What should the nurse emphasize to reduce the risk of postoperative infection?

A) Restrict fluids
B) Avoid straining the suture line
C) Maintain bedrest for several days
D) Expect clear nasal drainage to occur

Question 14

A patient has a serum sodium level of 126 mEq/L.What action should the nurse take to ensure for this patient's safety?

A) Apply wrist restraints
B) Implement seizure precautions
C) Prepare for nasogastric tube insertion
D) Plan for intermittent urinary catheterization

Question 15

A patient is being treated for diabetes insipidus (DI).Which medication should the nurse prepare to administer?

A) Calcium
B) Synthroid
C) Vitamin D
D) Desmopressin (DDAVP)

Question 16

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

A) Restrict fluids for a day
B) Notify the health-care provider
C) Increase the intake of salty foods
D) Take an extra dose of medication

Question 17

A patient is concerned because facial features are changing and the hands are becoming larger and painful.Which hormone should the nurse suspect is causing this patient's manifestations?

A) Testosterone
B) Growth hormone
C) Thyroid-stimulating hormone
D) Adrenocorticotropic hormone (ACTH)

Question 18

The nurse notes that patient with diabetes insipidus (DI)has a loss of free water.Which nursing diagnosis should the nurse use to guide care for this patient?

A) Fluid Volume Deficit
B) Alteration in Comfort
C) Body Image Disturbance
D) Sensory Perceptual Alteration

Question 19

A patient with diabetes insipidus (DI)is experiencing extreme dehydration.What should be used to guide intravenous fluid replacement therapy for this patient?

A) Skin turgor
B) Urine output total
C) Hemoglobin level
D) Serum sodium level

Question 20

A patient is demonstrating signs of low pituitary gland function.Which diagnostic test should the nurse expect to be prescribed for this patient?

A) MRI
B) Lumbar puncture
C) Cerebral angiogram
D) Carotid Doppler studies

Question 21

A patient with a history of syndrome of inappropriate antidiuretic hormone (SIADH)reports a low urine output for several days.What should the nurse respond to this patient?

A) "Drink more fluids."
B) "Avoid eating salty foods."
C) "Go to the emergency room now."
D) "Take an over-the-counter NSAID."

Question 22

The nurse is preparing medications for a patient with syndrome of inappropriate antidiuretic hormone (SIADH).Which medication would most likely be prescribed for this patient?

A) Ampicillin
B) Tetracycline
C) Vancomycin
D) Demeclocycline