A client is recovering from an adrenalectomy for pheochromocytoma removal. Which postoperative assessment should be prioritized to ensure early detection of complications?
Monitor blood pressure closely for fluctuations.
Check the client's urine output every hour.
Evaluate client's pain level using a numeric scale.
Assess the surgical site for signs of infection.
The Correct Answer is A
A. Monitor blood pressure closely for fluctuations is correct. After an adrenalectomy for pheochromocytoma, it is critical to closely monitor the client's blood pressure. Pheochromocytomas are tumors of the adrenal glands that cause excessive production of catecholamines (like epinephrine and norepinephrine), leading to severe hypertension. Postoperatively, the sudden removal of the tumor may cause blood pressure fluctuations, including hypotension after the excess catecholamines are no longer being produced. Monitoring blood pressure is key to detecting complications like hypotension or hypertensive crises early.
B. Check the client's urine output every hour is incorrect. While urine output is important to monitor in general postoperative care, it is not the priority in this case. The more immediate concern following adrenalectomy for pheochromocytoma is blood pressure control and hemodynamic stability, not just urine output.
C. Evaluate the client's pain level using a numeric scale is incorrect. While managing pain is essential, the priority assessment postoperatively for this particular procedure is to monitor for hemodynamic changes, particularly due to the risk of fluctuating blood pressure. Pain can be managed after addressing the primary concerns.
D. Assess the surgical site for signs of infection is incorrect. While infection is a concern for any postoperative patient, the most immediate risk after adrenalectomy for pheochromocytoma is hemodynamic instability due to catecholamine imbalance. Monitoring blood pressure takes precedence over checking for infection in the early postoperative period.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","F"]
Explanation
A. Analytical skills is incorrect. While analytical skills are important for clinical decision-making, they are not a core component of emotional intelligence. Emotional intelligence primarily focuses on understanding and managing emotions, not necessarily on analytical thinking.
B. Social skills is correct. Social skills are essential in emotional intelligence as they enable a nurse to interact effectively with patients, families, and colleagues. These skills include communication, teamwork, and conflict resolution, all of which are crucial for building strong relationships and managing emotions in healthcare settings.
C. Empathy is correct. Empathy is a key component of emotional intelligence. It allows a nurse to understand and share the feelings of others, especially patients, and provides a foundation for compassionate and effective care.
D. Physical endurance is incorrect. While physical endurance is important for a nurse's overall well-being and ability to perform physically demanding tasks, it is not a component of emotional intelligence. Emotional intelligence focuses on emotional and interpersonal skills, not physical capabilities.
Correct Answer is D
Explanation
A. Team members may be very good at time management but poor on job satisfaction is incorrect. While a laissez-faire leader may allow autonomy, it typically leads to a lack of direction and focus rather than improved time management. Job satisfaction can often be lower because team members may feel unsupported or unclear about expectations.
B. Team members experience disagreements among themselves is incorrect. Although lack of leadership can lead to some conflicts, the key characteristic of a laissez-faire leadership style is often lack of direction, not necessarily an increase in conflict. The absence of leadership can lead to confusion, but not always direct conflict among team members.
C. Productivity is high with low job satisfaction is incorrect. With a laissez-faire leadership style, productivity is often lower due to the lack of structure, guidance, and accountability. When people are not guided or supervised, their performance typically suffers.
D. The staff may be very knowledgeable but have lack of focus on the job at hand is correct. A laissez-faire leadership style involves little to no direction or supervision, allowing team members to make their own decisions. This can lead to knowledgeable staff, but without proper guidance or a strong focus on the tasks at hand. Lack of direction and focus often results in poor organizational performance and low motivation.
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