Step-by-step explanation:
A transsphenoidal hypophysectomy is a surgical procedure that involves removing part or all of the pituitary gland through the nose. After the procedure, the nurse would monitor the patient closely for any signs of complications. Some assessment changes that may be concerning include:
Changes in level of consciousness: Any changes in the patient's level of consciousness, such as confusion, disorientation, or lethargy, could indicate neurological complications and would be a cause for concern.
Severe headache: Mild headache after the procedure is common, but severe or worsening headache could be a sign of a cerebrospinal fluid leak or other complications.
Visual changes: If the patient experiences blurred vision, double vision, or other visual changes, this could indicate damage to the optic nerves or other neurological complications.
Nasal drainage: Some nasal drainage is expected after the procedure, but if the drainage becomes excessive, cloudy, or has a foul odor, this could indicate infection or cerebrospinal fluid leak.
Cardiovascular changes: Rapid heart rate, low blood pressure, or other cardiovascular changes could indicate bleeding or other complications and would be a cause for concern.