Difficulty: Medium
Average Score: 64%
Simulated
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?
Correct answer
D
Rationale
Correct Answer: D - "I must avoid blowing my nose and bending at the waist."
Rationale: After a transsphenoidal hypophysectomy, it is crucial to avoid blowing the nose and bending at the waist to prevent increased intracranial pressure and potential leakage of cerebrospinal fluid through the surgical site. This instruction helps to protect the surgical area and prevent complications such as meningitis. By following this advice, the client demonstrates an understanding of the importance of protecting the surgical site and minimizing risks of postoperative complications.
Summary of Incorrect Choices:
A: Restricting fluid intake is not necessary after a transsphenoidal hypophysectomy.
B: Deep breathing exercises are typically encouraged to prevent respiratory complications postoperatively.
C: Lying flat for an extended period after surgery can increase the risk of complications such as venous thromboembolism.
Rationale: After a transsphenoidal hypophysectomy, it is crucial to avoid blowing the nose and bending at the waist to prevent increased intracranial pressure and potential leakage of cerebrospinal fluid through the surgical site. This instruction helps to protect the surgical area and prevent complications such as meningitis. By following this advice, the client demonstrates an understanding of the importance of protecting the surgical site and minimizing risks of postoperative complications.
Summary of Incorrect Choices:
A: Restricting fluid intake is not necessary after a transsphenoidal hypophysectomy.
B: Deep breathing exercises are typically encouraged to prevent respiratory complications postoperatively.
C: Lying flat for an extended period after surgery can increase the risk of complications such as venous thromboembolism.