A patient's status post hypophysectomy had drainage on the mustache dressing. Which complication is this patient at risk for if the glucose level of the drainage is 50 mg/dL?

Visual deterioration

Diabetes

Meningitis

Hypoglycemia

Answer and Explanation

The Correct Answer is C

A. Visual deterioration is not typically associated with nasal drainage following a hypophysectomy unless the optic nerves or structures are affected during surgery.
B. Diabetes is not related to the glucose content in the nasal drainage; it's unrelated to this situation.
C. The presence of glucose in the drainage indicates a possible cerebrospinal fluid (CSF) leak, as CSF contains glucose. A CSF leak increases the risk of meningitis due to the direct connection to the central nervous system.
D. Hypoglycemia is not associated with the glucose content of drainage fluid. This is more relevant to blood glucose levels.

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Correct Answer is B

Explanation

A. Formoterol is a long-acting beta agonist (LABA) used for maintenance therapy, not for aborting acute asthma attacks. LABAs help prevent asthma symptoms but are not effective for immediate relief during an acute attack.
B. Albuterol is a short-acting beta agonist (SABA), which is the medication of choice for relieving acute asthma symptoms. It acts quickly to relax the muscles of the airways and relieve bronchospasm.
C. Beclomethasone is an inhaled corticosteroid used for long-term asthma control, reducing inflammation, but it is not used to treat acute attacks.
D. Salmeterol is another LABA, similar to formoterol, and is not used for aborting acute asthma attacks but rather for long-term control.

A. The client exhales as the medication is released from the inhaler B. The client takes a quick inhalation while releasing the medication from the inhaler C. The client holds his breath for 10 seconds after inhaling the medication D. The client waits 10 min between inhalations

Correct Answer is C

Explanation

A. The client exhales as the medication is released from the inhaler: This is incorrect. The client should inhale deeply while activating the inhaler. Exhaling before inhaling will reduce the effectiveness of the medication.
B. The client takes a quick inhalation while releasing the medication from the inhaler: This is incorrect. The client should inhale slowly and deeply to allow the medication to reach the lungs effectively. A quick inhalation may result in less medication being delivered to the lungs.
C. The client holds his breath for 10 seconds after inhaling the medication: This is the correct action. Holding the breath allows the medication to settle in the lungs, enhancing its therapeutic effect.
D. The client waits 10 min between inhalations: This is not necessary unless instructed by the healthcare provider. Most guidelines suggest waiting 1 to 2 minutes between inhalations of the same medication.

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A patient's status post hypophysectomy had drainage on the mustache dressing. Which complication is this patient at risk for if the glucose level of the drainage is 50 mg/dL?

Nursing Test Bank

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