N136 Week 1 - Lewis Adaptive Quizzing HESI Case Studies,
Patient Reviews, & Adaptive Quizzing MCA-2 Week 1-
Disorders of the Adrenal Cortex and Adrenal Medulla
Topic(s) : Disorders of the Adrenal Cortex and Adrenal
Medulla Mastery Disorders of the Adrenal Cortex and
Adrenal Medulla—Intermediate MCA-2 Week 1-Disorders
of the Thyroid and Parathyroid Glands Topic(s) : Disorders
of the Thyroid and Parathyroid Glands Mastery Disorders
of the Thyroid and Parathyroid Glands—Intermediate
MCA-2 Week 1-Disorder…
Which nursing action would prevent the leakage of
cerebrospinal fluid (CSF) after a transsphenoidal
hypophysectomy?
Having the patient lie down in the supine position
Ensuring oral hygiene in the patient by regular brushing
Informing the health care provider about nasal drainage
Instructing the patient to avoid vigorous coughing, sneezing, and
straining at stool
Instructing the patient to avoid vigorous coughing, sneezing, and
straining at stool
Vigorous coughing, sneezing, and straining at stool may result
in cerebrospinal fluid (CSF) leakage after transsphenoidal
hypophysectomy. The patient should lie in an elevated position,
with the head of the bed at a 30-degree angle, as opposed to
,lying in the supine position. Tooth brushing should be avoided
for a minimum of 10 days to protect the suture line. Reporting
clear nasal discharge to the surgeon is important, because
elevated glucose levels in the discharge indicate CSF leakage;
however, this intervention does not prevent the leakage of CSF.
Which statement by the patient who is status post a
transsphenoidal hypophysectomy indicates a need for further
education?
"It is important that I brush my teeth every day."
"I should refrain from vigorous coughing and sneezing."
"I should notify the nurse if I develop a severe headache."
"I may need to take a stool softener so that I do not strain with
having a bowel movement."
"It is important that I brush my teeth every day."
Which nursing intervention is most important for a patient with
diabetes insipidus?
Providing dietary education
Monitoring fluid intake and output
Assessing for constipation every day
Obtaining a finger-stick blood glucose level
Monitoring fluid intake and output
,Which nursing intervention is a priority for a patient recovering
from hypophysectomy?
Maintaining patent IV access
Monitoring the patient for increased temperature
Offering the bedpan or urinal at least every two to three hours
Assessing for signs of increased intracranial pressure (ICP)
Assessing for signs of increased intracranial pressure (ICP)
The nurse notes that a patient is scheduled for a gallbladder
removal. Which name for the procedure will be on the consent
form?
Splenectomy
Cholecystectomy
Cholecystojejunostomy
Pancreaticoduodenectomy
Cholecystectomy
Which term is used for the formation of stones in the
gallbladder?
Biliary colic
Cholangitis
Cholecystitis
Cholelithiasis
Cholelithiasis
, Which substance is involved in the development of
cholelithiasis?
Sodium
Calcium
Albumin
Globulin
Calcium
Which item reported in a patient's history increases the risk of
developing cholelithiasis?
Antibiotic use
Vasodilator therapy
Anticholinergic therapy
Oral contraceptive use
Oral contraceptive use
Oral contraceptives affect cholesterol production, thereby
resulting in gallbladder cholesterol saturation, which causes
gallbladder diseases such as cholelithiasis. Antibiotics,
vasodilators, and anticholinergics do not affect cholesterol
production and metabolism.
A patient tells the nurse, "Gallstones were removed by passing
shock waves into my gallbladder." Which procedure is the
patient referring to?
Cholecystojejunostomy
Patient Reviews, & Adaptive Quizzing MCA-2 Week 1-
Disorders of the Adrenal Cortex and Adrenal Medulla
Topic(s) : Disorders of the Adrenal Cortex and Adrenal
Medulla Mastery Disorders of the Adrenal Cortex and
Adrenal Medulla—Intermediate MCA-2 Week 1-Disorders
of the Thyroid and Parathyroid Glands Topic(s) : Disorders
of the Thyroid and Parathyroid Glands Mastery Disorders
of the Thyroid and Parathyroid Glands—Intermediate
MCA-2 Week 1-Disorder…
Which nursing action would prevent the leakage of
cerebrospinal fluid (CSF) after a transsphenoidal
hypophysectomy?
Having the patient lie down in the supine position
Ensuring oral hygiene in the patient by regular brushing
Informing the health care provider about nasal drainage
Instructing the patient to avoid vigorous coughing, sneezing, and
straining at stool
Instructing the patient to avoid vigorous coughing, sneezing, and
straining at stool
Vigorous coughing, sneezing, and straining at stool may result
in cerebrospinal fluid (CSF) leakage after transsphenoidal
hypophysectomy. The patient should lie in an elevated position,
with the head of the bed at a 30-degree angle, as opposed to
,lying in the supine position. Tooth brushing should be avoided
for a minimum of 10 days to protect the suture line. Reporting
clear nasal discharge to the surgeon is important, because
elevated glucose levels in the discharge indicate CSF leakage;
however, this intervention does not prevent the leakage of CSF.
Which statement by the patient who is status post a
transsphenoidal hypophysectomy indicates a need for further
education?
"It is important that I brush my teeth every day."
"I should refrain from vigorous coughing and sneezing."
"I should notify the nurse if I develop a severe headache."
"I may need to take a stool softener so that I do not strain with
having a bowel movement."
"It is important that I brush my teeth every day."
Which nursing intervention is most important for a patient with
diabetes insipidus?
Providing dietary education
Monitoring fluid intake and output
Assessing for constipation every day
Obtaining a finger-stick blood glucose level
Monitoring fluid intake and output
,Which nursing intervention is a priority for a patient recovering
from hypophysectomy?
Maintaining patent IV access
Monitoring the patient for increased temperature
Offering the bedpan or urinal at least every two to three hours
Assessing for signs of increased intracranial pressure (ICP)
Assessing for signs of increased intracranial pressure (ICP)
The nurse notes that a patient is scheduled for a gallbladder
removal. Which name for the procedure will be on the consent
form?
Splenectomy
Cholecystectomy
Cholecystojejunostomy
Pancreaticoduodenectomy
Cholecystectomy
Which term is used for the formation of stones in the
gallbladder?
Biliary colic
Cholangitis
Cholecystitis
Cholelithiasis
Cholelithiasis
, Which substance is involved in the development of
cholelithiasis?
Sodium
Calcium
Albumin
Globulin
Calcium
Which item reported in a patient's history increases the risk of
developing cholelithiasis?
Antibiotic use
Vasodilator therapy
Anticholinergic therapy
Oral contraceptive use
Oral contraceptive use
Oral contraceptives affect cholesterol production, thereby
resulting in gallbladder cholesterol saturation, which causes
gallbladder diseases such as cholelithiasis. Antibiotics,
vasodilators, and anticholinergics do not affect cholesterol
production and metabolism.
A patient tells the nurse, "Gallstones were removed by passing
shock waves into my gallbladder." Which procedure is the
patient referring to?
Cholecystojejunostomy
