The nurse is caring for a client scheduled for removal of a pituitary tumor using the

transsphenoidal approach. The nurse should be particularly alert for:

A. Nasal congestion

B. Abdominal tenderness

C. Muscle tetany

D. Oliguria

Answer A: Removal of the pituitary gland is usually done by a transsphenoidal approach,

through the nose. Nasal congestion further interferes with the airway. Answers B, C, and D are

not correct because they are not directly associated with the pituitary gland.

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