Question

A client has a tumor of the posterior pituitary gland. The nurse assisting with the development of the plan of care should include which nursing interventions? (Select all that apply.)

Answer 1

Nursing interventions for a posterior pituitary gland tumor include monitoring fluid and electrolyte balance, administering synthetic hormone replacements, and educating the patient on their condition and potential lactation difficulties.

Step-by-step explanation:

Nursing Interventions for a Posterior Pituitary Tumor

When it comes to a client with a tumor of the posterior pituitary gland, nursing interventions should be tailored to the specific symptoms and hormone imbalances the patient experiences. An understanding of the hormones released by the posterior pituitary, primarily vasopressin (antidiuretic hormone, ADH) and oxytocin, and their actions are essential for formulating a plan of care. Vasopressin's main action is to regulate water balance in the body, while oxytocin is involved in the contraction of the uterus during labor and the release of breast milk.

Patient care may focus on monitoring fluid volume status, electrolyte balance, and neurologic status. Vasopressin disruptions can lead to conditions such as diabetes insipidus, characterized by excessive urination and thirst. Oxytocin disturbances could affect lactation and parturition. Thus, nurse interventions might include fluid management, administration of synthetic hormone replacements as necessary, monitoring for signs of electrolyte imbalance or dehydration, educating the patient about their condition, and preparing for possible lactation difficulties.

The anterior pituitary produces different hormones, such as growth hormone, prolactin, and adrenocorticotropic hormone, which also need consideration if the tumor affects global pituitary function.