Which statement indicates that further teaching is necessary regarding hypophysectomy in a client with acromegaly?

The correct answer highlights the need for further teaching because individuals who undergo a hypophysectomy, which is the surgical removal of the pituitary gland, typically experience significant hormonal changes post-surgery. Acromegaly, often caused by excess growth hormone from a pituitary tumor, necessitates this procedure to reduce growth hormone levels.

After the surgery, the body may not produce sufficient amounts of certain hormones due to the loss of the pituitary gland’s function. This can lead to potential complications and changes in insulin metabolism, but it does not inherently mean that insulin doses must be increased. In fact, some patients may find they require less insulin if their growth hormone levels normalize, as growth hormone can antagonize insulin action and lead to insulin resistance.

The other statements reflect accurate information regarding the consequences of the hypophysectomy. Surgical removal of the pituitary gland can lead to permanent sterility due to the loss of gonadotropin secretion, necessitating lifelong hormone replacement therapy with cortisone for adrenal insufficiency, and potentially requiring thyroid hormone replacement. Each of these statements indicates a reasonable expectation of life post-surgery, while the assertion of needing larger doses of insulin demonstrates a misunderstanding of how the surgery affects the body's hormone regulation and insulin requirements.