A client is scheduled for a hypophysectomy following the discovery of a pituitary gland tumor. The nurse is teaching the client about the procedure. Which statement by the client indicates effective learning? Select all that apply.

  • “I should brush my teeth with a soft toothbrush.”
  • “I can remove the pad under my nose the next morning.”
  • “I will avoid bending my head down or bending forward.”
  • “I will not blow my nose until cleared by my health care provider.”
  • “I will need to breathe through my mouth due to the nasal packing.”
Numbers 3, 4, and 5 are correct.
Following a hypophysectomy, the client is at increased risk of bleeding and increased intracranial pressure. To minimize the risk of increased pressure and bleeding, the client should avoid bending the head down and putting pressure on the nose. Blowing the nose should be avoided until approved by the health care provider. The client will need to mouth breathe while the nasal packing is in place. Brushing the teeth can increase intracranial pressure, which delays healing. The drip pad should remain in place for 2 or 3 days and be removed by the surgeon or by the client following the surgeon’s guidelines.