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Home Q & A Board Biology-Related Homework Help Medicine Nursing and Clinical
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colleen colleen
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11 years ago
The nurse is caring for a patient with a non-ACTH-producing adrenal cortex tumor who is scheduled for a surgical procedure to remove the tumor. The nurse knows patient teaching regarding the procedure has been effective when the patient states,
1. “The adrenal gland with the tumor will be removed.”
2. “I will need to take adrenal hormones for the rest of my life.”
3. “The tumor will be removed by the transsphenoidal route.”
4. “I will receive IV cortisol in preparation for the surgery.”
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#1
Valued Member
11 years ago
1 -- When Cushing’s syndrome is caused by a non-ACTH-producing adrenal cortex tumor, an adrenalectomy may be performed to remove the tumor. Only one adrenal gland is usually involved. As a remaining adrenal gland exists, patients do not need lifetime adrenal hormone replacement. Pituitary, not adrenal tumors, are removed transsphenoidally. The patient with Cushing’s syndrome is already experiencing elevated cortisol levels and IV cortisol is not indicated prior to adrenalectomy.
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