A nurse is caring for a client with a pheochromocytoma. Which assessment finding will the nurse expect for this client?

Decreased pulse

Elevated blood pressure

Cold intolerance

Decreased respiratory rate

Answer and Explanation

The Correct Answer is B

A. A decreased pulse is not typically associated with pheochromocytoma. This condition is characterized by the excessive release of catecholamines, which usually leads to an increased heart rate.

B. Pheochromocytoma is a tumor of the adrenal medulla that causes excessive secretion of catecholamines, leading to episodic or sustained hypertension. Elevated blood pressure is a hallmark symptom of this condition.

C. Cold intolerance is more commonly associated with hypothyroidism and is not a typical finding in pheochromocytoma.

D. Decreased respiratory rate is not characteristic of pheochromocytoma; instead, clients may experience symptoms such as palpitations, sweating, and headaches due to the elevated catecholamine levels.

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Correct Answer is B

Explanation

A. Bubbling in the water seal chamber with exhalation can be normal as it indicates air is escaping from the pleural space; however, continuous bubbling may indicate an air leak and would need to be assessed.

B. Movement of the trachea toward the unaffected side is a sign of a tension pneumothorax, a life-threatening condition requiring immediate medical intervention. This tracheal deviation suggests that the pressure in the pleural space is increasing, pushing the mediastinum to the opposite side.

C. Scant serosanguinous drainage on the dressing is expected and not an immediate concern unless it becomes excessive.

D. Crepitus, or subcutaneous emphysema, indicates air leakage into the tissues but is not immediately life-threatening unless it is extensive and worsening rapidly.

A. Bradycardia B. Deep respirations C. Barrel chest D. Clubbing of the fingers E. Dyspnea

Correct Answer is ["C","D","E"]

Explanation

A. Bradycardia is not typically associated with emphysema; tachycardia is more common due to hypoxia.
B. Deep respirations are not a hallmark of emphysema; patients often have shallow, rapid breathing due to decreased lung capacity.
C. A barrel chest is a characteristic sign of emphysema, resulting from hyperinflation of the lungs over time.
D. Clubbing of the fingers can occur due to chronic hypoxia associated with emphysema.
E. Dyspnea, or difficulty breathing, is a primary symptom of emphysema due to the destruction of alveoli and reduced gas exchange.

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A nurse is caring for a client with a pheochromocytoma. Which assessment finding will the nurse expect for this client?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is ["C","D","E"]

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