A Client Who Had a Trans-Sphenoidal Hypophysectomy 2 Days Ago

question 12

Multiple Choice

A client who had a trans-sphenoidal hypophysectomy 2 days ago now has nuchal rigidity.Which is the nurse's priority action?

• A) Have the client do active range-of-motion exercises for the neck.
• B) Document the finding and monitor the client.
• C) Take the client's temperature and other vital signs.
• D) Assess using a pain scale and administer pain medication.

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Definitions:

Schachter

Stanley Schachter, a psychologist known for his research on social and emotional factors in group cohesion, particularly relating to anxiety and affiliation.

Anxious

Experiencing worry, unease, or nervousness, typically about an imminent event or something with an uncertain outcome.

Affiliation

The state or process of being closely associated or connected with an organization, group, or another individual, particularly in terms of shared goals, identity, or interests.

Accurate Information

Information that is correct, precise, and free from error.