Endocrine Test 2026
hypophysectomy surgical removal of the pituitary gland and/or tumor
Post op care- pt must be on lifelong hormone replacement
Monitor for nose bleed and csf
Avoid blowing the nose, coughing,sneezing,and straining.
Elevate the head
Monitor for SIADH and Diabetes insipidus
The nurse is caring for a client after hypophysec- 2
tomy and notes clear nasal drainage from the cli- Rationale: After hypophysectomy, the client should be moni- tored for
ent's nostril. The nurse should take which initial rhinorrhea, which could indicate a cerebrospinal fluid leak. If this occurs, the
action? drainage should be collected and tested for the presence of cerebrospinal
1. Lower the head of the bed. fluid. Cerebrospi- nal fluid contains glucose, and if positive, this would
2. Test the drainage for glucose. indicate that the drainage is cerebrospinal fluid.
3. Obtain a culture of the drainage.
4. Continue to observe the drainage.
The nurse is caring for a postoperative client who has Severe dehydration and HYPeRnatremia
undergone surgical removal of of pituitary gland
(hypophysectomy), and now has developed DI. The
nurse should assess for :
2/4/2026
, Endocrine Test 2026
The nurse is caring for a postoperative client who has Urinary output
undergone a transsphenoidal hypophysectomy. Fluid and electrolyte balance
Which assessments would be most important for this Visual assessment
client ? SATA
The nurse has just completed an assessment of a Pt Increased urinary output with specific gravity of <1.005
with a head injury. What lab value is concerning ?
58. To help minimize the risk of postoperative take deep breaths
respiratory complications after a
hypophysectomy, during preoperative teaching, the
nurse should instruct the client how
to:
1. Use incentive spirometry.
2. Turn in bed.
3. Take deep breaths.
4. Cough.
2/4/2026
, Endocrine Test 2026
A client is to have a transsphenoidal hypophysectomy 4. upper gingival mucosa in the space between the upper gums and lip
to remove a large, invasive pituitary tumor. The nurse
should instruct the client that the surgery will be
performed through an incision in the:
1. Back of the mouth.
2. Nose.
3. Sinus channel below the right eye.
4. Upper gingival mucosa in the space between the
upper gums and lip
59. Following a transsphenoidal hypophysectomy, the cerebrospinal fluid leak
nurse should assess the client
for:
1. Cerebrospinal fluid (CSF) leak.
2. Fluctuating blood glucose levels.
3. Cushing's syndrome.
4. Cardiac arrhythmias
2/4/2026
hypophysectomy surgical removal of the pituitary gland and/or tumor
Post op care- pt must be on lifelong hormone replacement
Monitor for nose bleed and csf
Avoid blowing the nose, coughing,sneezing,and straining.
Elevate the head
Monitor for SIADH and Diabetes insipidus
The nurse is caring for a client after hypophysec- 2
tomy and notes clear nasal drainage from the cli- Rationale: After hypophysectomy, the client should be moni- tored for
ent's nostril. The nurse should take which initial rhinorrhea, which could indicate a cerebrospinal fluid leak. If this occurs, the
action? drainage should be collected and tested for the presence of cerebrospinal
1. Lower the head of the bed. fluid. Cerebrospi- nal fluid contains glucose, and if positive, this would
2. Test the drainage for glucose. indicate that the drainage is cerebrospinal fluid.
3. Obtain a culture of the drainage.
4. Continue to observe the drainage.
The nurse is caring for a postoperative client who has Severe dehydration and HYPeRnatremia
undergone surgical removal of of pituitary gland
(hypophysectomy), and now has developed DI. The
nurse should assess for :
2/4/2026
, Endocrine Test 2026
The nurse is caring for a postoperative client who has Urinary output
undergone a transsphenoidal hypophysectomy. Fluid and electrolyte balance
Which assessments would be most important for this Visual assessment
client ? SATA
The nurse has just completed an assessment of a Pt Increased urinary output with specific gravity of <1.005
with a head injury. What lab value is concerning ?
58. To help minimize the risk of postoperative take deep breaths
respiratory complications after a
hypophysectomy, during preoperative teaching, the
nurse should instruct the client how
to:
1. Use incentive spirometry.
2. Turn in bed.
3. Take deep breaths.
4. Cough.
2/4/2026
, Endocrine Test 2026
A client is to have a transsphenoidal hypophysectomy 4. upper gingival mucosa in the space between the upper gums and lip
to remove a large, invasive pituitary tumor. The nurse
should instruct the client that the surgery will be
performed through an incision in the:
1. Back of the mouth.
2. Nose.
3. Sinus channel below the right eye.
4. Upper gingival mucosa in the space between the
upper gums and lip
59. Following a transsphenoidal hypophysectomy, the cerebrospinal fluid leak
nurse should assess the client
for:
1. Cerebrospinal fluid (CSF) leak.
2. Fluctuating blood glucose levels.
3. Cushing's syndrome.
4. Cardiac arrhythmias
2/4/2026
