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A patient is scheduled for surgery to remove a tumor of the anterior pituitary. Which hormone should the nurse expect to be affected by this surgery? Select all that apply.

A.

Thyroid stimulating hormone (TSH)

B.

Prolactin

C.

Oxytocin

D.

Gonadotropin hormones

E.

Adrenocorticotropic hormone (ACTH)

Answer and Explanation

Correct Answer : A,B,D,E

A. Thyroid stimulating hormone (TSH): The anterior pituitary gland secretes TSH, which  regulates the thyroid gland's function. Surgery on the anterior pituitary can potentially  disrupt the production and regulation of TSH. 

B. Prolactin: The anterior pituitary gland also produces prolactin. Surgery on the anterior  pituitary can affect prolactin production. 

C. Oxytocin: Oxytocin is produced by the posterior pituitary, not the anterior pituitary.  Surgery on the anterior pituitary would not directly impact oxytocin production. 

D. Gonadotropin hormones: These include follicle-stimulating hormone (FSH) and  luteinizing hormone (LH), which are important for reproductive function. The anterior pituitary secretes these hormones, so surgery on the anterior pituitary can impact their  production. 

E. Adrenocorticotropic hormone (ACTH): ACTH is essential for the stimulation of  cortisol release from the adrenal glands. The production of ACTH is regulated by the  anterior pituitary, so surgery in this area can affect ACTH levels. 


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Related Questions

Correct Answer is C

Explanation

A. Checking the pedal pulses is important for assessing circulation, but it may not directly address the cause of the muscle spasms. In this case, addressing the electrolyte imbalance is a higher priority.

B. Requesting a relaxant might provide temporary relief for muscle spasms, but it does not address the potential underlying cause. It's important to identify and treat the root issue.

C. Correct. Severe muscle spasms in a client post-thyroidectomy could indicate hypocalcemia, as the parathyroid glands, which regulate calcium levels, can be affected during the surgery. Verifying the most recent calcium level will help determine if this is the cause.

D. Administering an oral potassium supplement addresses a different electrolyte imbalance (hypokalemia), which is not typically associated with muscle spasms following a thyroidectomy. Calcium levels are more relevant in this context.

Correct Answer is ["A","B","D","E"]

Explanation

A. Thyroid stimulating hormone (TSH): The anterior pituitary gland secretes TSH, which regulates the thyroid gland's function. Surgery on the anterior pituitary can potentially disrupt the production and regulation of TSH.

B. Prolactin: The anterior pituitary gland also produces prolactin. Surgery on the anterior pituitary can affect prolactin production.

C. Oxytocin: Oxytocin is produced by the posterior pituitary, not the anterior pituitary. Surgery on the anterior pituitary would not directly impact oxytocin production.

D. Gonadotropin hormones: These include follicle-stimulating hormone (FSH) and luteinizing hormone (LH), which are important for reproductive function. The anteriorpituitary secretes these hormones, so surgery on the anterior pituitary can impact their production.

E. Adrenocorticotropic hormone (ACTH): ACTH is essential for the stimulation of cortisol release from the adrenal glands. The production of ACTH is regulated by the anterior pituitary, so surgery in this area can affect ACTH levels.

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