Acromegaly Exam By Rnpedia

7 Questions | By Rnpedia | Last updated: Mar 22, 2022 | Total Attempts: 2343

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Acromegaly is a serious disease that is a result of increase in the growth hormone. This leads to enlargement of some body parts. This disease may be treated using drugs but at times surgery is needed. What else do you about this disease? Take up the quiz to find out.

Questions and Answers

1.

The nurse is caring for a client with acromegaly. Following a transphenoidal hypophysectomy, the nurse should:
- A.
  
  Monitor the client’s blood sugar
- B.
  
  Suction the mouth and pharynx every hour
- C.
  
  Place the client in low Trendelenburg position
- D.
  
  Encourage the client to cough
2.

Jemma, who weighs 210 lb (95 kg) and has been diagnosed with hyperglycemia tells the nurse that her husband sleeps in another room because her snoring keeps him awake. The nurse notices that she has large hands and a hoarse voice. Which of the following would the nurse suspect as a possible cause of the client’s hyperglycemia?
- A.
  
  Acromegaly
- B.
  
  Type 1 diabetes mellitus
- C.
  
  Hypothyroidism
- D.
  
  Deficient growth hormone
3.

Of the following disorders, which results from excessive secretion of somatotropin?
- A.
  
  Acromegaly
- B.
  
  Cretinism
- C.
  
  Dwarfism
- D.
  
  Adrenogenital syndrome
4.

The nurse is planning room assignments for the day. Which client should be assigned to a private room if only one is available?
- A.
  
  The client with Cushing’s disease
- B.
  
  The client with diabetes
- C.
  
  The client with acromegaly
- D.
  
  The client with myxedema
5.

A patient suspected of having acromegaly has an elevated plasma growth hormone level. In acromegaly, the nurse would also expect the patient's diagnostic results to include
- A.
  
  Hyperinsulinemia
- B.
  
  A plasma glucose of less than 70
- C.
  
  Decreased growth hormone levels with an oral glucose challenge test
- D.
  
  A serum sometomedin C (insulin-like growth-factor) of more than 300
6.

During assessment of the patient with acromegaly, the nurse would expect the patient to report
- A.
  
  Infertility
- B.
  
  Dry, irritated skin
- C.
  
  Undesirable changes in appearance
- D.
  
  An increase in height of 2 to 3 inches per year
7.

A patient with acromegaly is treated with a transphenoidal hypophysectomy. Postoperatively, the nurse
- A.
  
  Ensures that any clear nasal drainage is tested for glucose
- B.
  
  Maintains the patient flat in bed to prevent cerebrospinal fluid leak
- C.
  
  Assists the patient with toothbrushing Q4H to keep the surgical area clean
- D.
  
  Encourages deep breathing and coughing to prevent respiratory complications

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