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 ["25.0"]
Explanation
Total volume to infuse = 1000 mL
Total time = 8 hours × 60 minutes = 480 minutes
Drop factor = 12 gtts/mL
Multiply volume by drop factor: 1000 × 12 = 12,000
Divide result by time in minutes: 12,000 ÷ 480 = 25
Answer: 25 gtts/min
Correct Answer is D
Explanation
A. covers all prescription medications with no out-of-pocket costs for beneficiaries is incorrect. Medicare Part D does not cover all prescription medications. It provides coverage for many prescription drugs, but beneficiaries may still have out-of-pocket costs such as premiums, deductibles, and co-pays. Additionally, not all medications are covered under Part D, as each plan has its own list of covered drugs.
B. is only available to individuals with low income is incorrect. While low-income individuals may qualify for additional assistance under Medicare Extra Help, Medicare Part D is available to all Medicare beneficiaries, not just those with low income. Individuals must be enrolled in Medicare Part A or Part B to be eligible for Part D.
C. is administered by the Centers for Medicare & Medicaid Services (CMS) is incorrect. While CMS oversees Medicare, Medicare Part D is actually administered through private insurance companies that are approved by CMS. These private plans provide prescription drug coverage to beneficiaries.
D. provides prescription drug coverage to Medicare beneficiaries is correct. Medicare Part D is specifically designed to provide prescription drug coverage for individuals who are eligible for Medicare. It helps beneficiaries pay for prescription medications through private insurance plans approved by CMS.
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