HYPERPITUITARISM

Question 1

Manifestations of hyperpituitarism

Answer 1

Large hands and feet
Thickening and protrusion of jaw
Visual disturbances
Diaphroesis
Oily and rough skin
Deepening of the voice

Question 2

Nursing intervention for hyperpituitarism

Answer 2

Provide emotional support to the client and family
Provide frequent skin care
Prepare the client for radiation of the pituitary gland
Prepare the client for hypophysectomy

Question 3

It is the surgery of removing pituitary gland

Answer 3

Transsphenoïdal hypophysectomy

Question 4

Site of incision during transsphenoïdal hypophysectomy

Answer 4

Upper lips and upper gum

Question 5

Complications of transsphenoidal hypophysectory

Answer 5

Hypopituitarism
CSF leak
Infection

Question 6

Elevate the head of the bed for how many weeks? To promote?

Answer 6

2-3 weeks, to promote drainage

Question 7

Postoperative interventions of transsphenoïdal hypophysectomy

Answer 7

Monitor vital signs, neurological status, and level of consciousness
Monitor for increased intracranial pressure
Monitor for bleeding
Maintain nasal packing and reinforce
Monitor intake and output and avoid water intoxication
Administer oral mouth rinse as prescribed

Question 8

Why is it that the patient should avoid, sneezing, coughing, blowing of nose after transsphénoïdal hypophysectomy?

Answer 8

It increases ICP

Question 9

As prescribed, instruct the client to brush teeth gently with an ultrasoft toothbrush/toothettes for at least ____ weeks following surgery.- to prevent????

Answer 9

2 weeks, irritation

Question 10

Check the nasal drainage for the presence of?

Answer 10

Glucose

Question 11

Report output above 900 mls/ 2 hours or urine specific gravity below 1.004.— indicates

Answer 11

Diabetes insipidus