MED SURG 120 (ENDOCRINE) STUDY GUIDE LATEST 2022

1.      The nurse is caring for a client after hypophysectomy and notes clear nasal drainage from the client’s nostril. The nurse should take which initial action?

a.      Lower the head of the bed

b.      Test the drainage for glucose

c.       Obtain a culture of the drainage

d.      Continue to observe the drainage

Rationale: *Hypophysectomy: surgical removal of the pituitary gland; for removing tumors and treating Cushing’s syndrome; risky surgery because the gland is located near the optic nerve and can lead to complications nosebleeds, leaking of CSF, intracranial hemorrhage, DI, hypopituitarism, vision trouble if optic nerve is affected, injury to carotid

– stroke, death;