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

Question

Quizplus · Accepted Answer

Nuchal rigidity is a major manifestation of meningitis,a potential postoperative complication associated with this surgery.Meningitis is an infection; usually the client will also have a fever and tachycardia.Range-of-motion exercises are inappropriate because meningitis is a possibility.Although pain medication may be a palliative measure,it is not the most appropriate initial action.Documentation should be done after all assessments are completed and should not be the only action.

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