A client is recovering from an adrenalectomy for pheochromocytoma removal. Which postoperative assessment should be prioritized to ensure early detection of complications?

A. Hypoactive deep tendon reflexes is incorrect. Hypocalcemia often leads to hyperactive reflexes, not hypoactive reflexes. This is because calcium plays a role in muscle and nerve function, and a deficiency can cause heightened neuromuscular irritability.
B. Constipation is incorrect. Constipation is more commonly associated with hypercalcemia (elevated calcium levels), not hypocalcemia. Low calcium levels tend to cause muscle spasms and neuromuscular symptoms rather than gastrointestinal issues.
C. Tingling of the extremities is correct. Tingling or paresthesia of the extremities is a common symptom of hypocalcemia. It occurs due to increased nerve excitability caused by low calcium levels, which can lead to muscle cramps, tetany, and numbness.
D. Shortened QT intervals is incorrect. A shortened QT interval is typically associated with hypercalcemia (high calcium levels), not hypocalcemia. Hypocalcemia is more likely to cause a prolonged QT interval on the ECG.

A. Improved workplace satisfaction is incorrect. Patient-to-nurse violence is likely to lead to decreased job satisfaction and burnout among nurses, rather than improvement.
B. Decreased quality of patient care is correct. Patient-to-nurse violence can lead to emotional distress, anxiety, and physical injury for nurses, which may negatively affect their ability to focus on patient care. Stress and trauma can impair a nurse's concentration, decision-making, and overall job performance, ultimately decreasing the quality of care provided to patients.
C. Enhanced patient-nurse communication is incorrect. Violence or aggression from patients typically leads to communication breakdowns, not improvements. Nurses may become less willing to engage or communicate effectively with patients, especially after experiencing violent incidents.
D. Increased nurse retention rates is incorrect. Patient-to-nurse violence generally contributes to increased nurse turnover rather than retention. Nurses who experience violence may choose to leave their positions due to safety concerns or emotional strain.