A nurse is teaching a client who is recovering from a transsphenoidal hypophysectomy. Which statement made by the client indicates a correct understanding of the teaching?
"I must restrict my fluid intake."
"I must avoid deep breathing exercises."
"I must lie flat for 48 hours after surgery."
"I must avoid blowing my nose and bending at the waist."
The Correct Answer is D
A. Fluid intake may need to be monitored, but restricting fluids is not typically advised unless specifically directed by the healthcare provider due to complications like diabetes insipidus.
B. Avoiding deep breathing exercises is not recommended, as these exercises are important for preventing respiratory complications postoperatively.
C. Lying flat for 48 hours after surgery is incorrect; the head of the bed is usually elevated to decrease intracranial pressure and promote healing.
D. Avoiding blowing the nose and bending at the waist is crucial after transsphenoidal hypophysectomy to prevent increased intracranial pressure and avoid disrupting the surgical site, which could lead to complications such as cerebrospinal fluid leakage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Coffee does not interact with glimepiride.
B. Milk is not contraindicated with glimepiride.
C. Alcohol should be avoided while taking glimepiride, as it can potentiate the hypoglycemic effects of the medication and may increase the risk of a severe drop in blood sugar levels.
D. Grapefruit juice is not known to have a significant interaction with glimepiride.
Correct Answer is D
Explanation
A. Theophylline is a bronchodilator used in the management of asthma.
B. Montelukast is a leukotriene receptor antagonist that helps control asthma symptoms.
C. Prednisone is a corticosteroid used to reduce inflammation during an asthma exacerbation.
D. Propranolol is a non-selective beta-blocker that can cause bronchoconstriction and should be avoided in clients with asthma, as it may exacerbate their condition.
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