Unit 6 - Pituitary Adenoma

A client has had a hypophysectomy. What signs of a potential complication should the nurse teach the client to report?

Hypopituitarism

A male client expresses concern about how a hypophysectomy will affect his sexual function. Which statement provides the most accurate information about the physiologic effects of hypophysectomy in a male?

Removing the source of excess hormone should restore the client's libido, erectile function, and fertility.

To provide oral hygiene for a client recovering from transsphenoidal hypophysectomy, what should the nurse instruct the client to do?

Rinse the mouth with saline.

A client is to have a hypophysectomy. To minimize the risk of postoperative respiratory complications, what should the nurse instruct the client to do?

Take deep breaths.

Following a transsphenoidal hypophysectomy, the nurse should assess the client for which sign of a potential complication?

cerebrospinal fluid (CSF) leak

A client with diabetes insipidus is receiving vasopressin. Which sign indicates that the drug is having the intended effect?

concentration of urine

Following a transsphenoidal hypophysectomy, a client has a cerebrospinal fluid leak. The nurse should prepare the client for which treatment of the leak?

maintaining bed rest with the head of the bed elevated to 30 degrees

A client is to have a transsphenoidal hypophysectomy to remove a large, invasive pituitary tumor. Where should the nurse tell the client the surgical incision will be made?

upper gingival mucosa in the space between the upper gums and lip

After pituitary surgery, which laboratory finding should the nurse report to the health care provider?

urine specific gravity <1.010