Chapter 050
Lewis: Medical-Surgical Nursing, 8th Edition
Chapter 50: Nursing Management: Endocrine Problems
Test Bank
MULTIPLE CHOICE
1. A patient with suspected acromegaly is seen at the clinic. To assist in making the
diagnosis, which question should the nurse ask?
a. “Have you had a recent head injury?”
b. “Do you have to wear larger shoes now?”
c. “Are you experiencing tremors or anxiety?”
d. “Is there any family history of acromegaly?”
ANS: B
Acromegaly causes an enlargement of the hands and feet. Head injury and family history are not risk factors for acromegaly. Tremors and anxiety are not clinical manifestations of acromegaly. DIF: Cognitive Level: Application
TOP: Nursing Process: Assessment
REF: 1255-1256
MSC: NCLEX: Physiological Integrity
2. During preoperative teaching for a patient scheduled for transsphenoidal
hypophysectomy for treatment of a pituitary adenoma, the nurse instructs the patient about the need to
a. cough and deep breathe every 2 hours postoperatively.
b. remain on bed rest for the first 48 hours after the surgery.
c. be positioned flat with sandbags at the head postoperatively.
d. avoid brushing the teeth for at least 10 days after the surgery.
ANS: D
To avoid disruption of the suture line, the patient should avoid brushing the teeth for 10 days after surgery. It is not necessary to remain on bed rest after this surgery. Coughing is discouraged because it may cause leakage of cerebrospinal fluid (CSF) from the suture line. The head of the bed should be elevated 30 degrees to reduce pressure on the sella turcica and decrease the risk for headaches.
DIF: Cognitive Level: Application
TOP: Nursing Process: Implementation
REF: 1256-1258
MSC: NCLEX: Physiological Integrity
3. Which nursing action will be included in the postoperative plan of care for a patient who
has had a transsphenoidal resection of a pituitary tumor?
a. Monitor urine output every hour.
b. Palpate extremities for dependent edema.
c. Check hematocrit hourly for first 12
Chapter 50: Nursing Management: Endocrine Problems
Test Bank
MULTIPLE CHOICE
1. A patient with suspected acromegaly is seen at the clinic. To assist in making the
diagnosis, which question should the nurse ask?
a. “Have you had a recent head injury?”
b. “Do you have to wear larger shoes now?”
c. “Are you experiencing tremors or anxiety?”
d. “Is there any family history of acromegaly?”
ANS: B
Acromegaly causes an enlargement of the hands and feet. Head injury and family history are not risk factors for acromegaly. Tremors and anxiety are not clinical manifestations of acromegaly. DIF: Cognitive Level: Application
TOP: Nursing Process: Assessment
REF: 1255-1256
MSC: NCLEX: Physiological Integrity
2. During preoperative teaching for a patient scheduled for transsphenoidal
hypophysectomy for treatment of a pituitary adenoma, the nurse instructs the patient about the need to
a. cough and deep breathe every 2 hours postoperatively.
b. remain on bed rest for the first 48 hours after the surgery.
c. be positioned flat with sandbags at the head postoperatively.
d. avoid brushing the teeth for at least 10 days after the surgery.
ANS: D
To avoid disruption of the suture line, the patient should avoid brushing the teeth for 10 days after surgery. It is not necessary to remain on bed rest after this surgery. Coughing is discouraged because it may cause leakage of cerebrospinal fluid (CSF) from the suture line. The head of the bed should be elevated 30 degrees to reduce pressure on the sella turcica and decrease the risk for headaches.
DIF: Cognitive Level: Application
TOP: Nursing Process: Implementation
REF: 1256-1258
MSC: NCLEX: Physiological Integrity
3. Which nursing action will be included in the postoperative plan of care for a patient who
has had a transsphenoidal resection of a pituitary tumor?
a. Monitor urine output every hour.
b. Palpate extremities for dependent edema.
c. Check hematocrit hourly for first 12