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 C

Explanation

A. Flank pain alone is not a contraindication for a kidney biopsy, although it may be a symptom that necessitates the biopsy to determine the cause of kidney issues.

B. An elevated creatinine level indicates impaired kidney function but is not a contraindication for a kidney biopsy; in fact, it may be a reason to perform the biopsy.

C. A coagulation disorder is a contraindication for a kidney biopsy because it increases the risk of bleeding during and after the procedure. It is crucial to ensure that coagulation parameters are within a safe range before performing this invasive test.

D. Urinary retention does not contraindicate a kidney biopsy, although it may need to be addressed separately.

A. Place the child on a low-sodium diet. B. Monitor the child for fluid volume excess. C. Discuss the manifestations of hyperglycemia with the parents D. Teach the parents about cortisol replacement therapy.

Correct Answer is D

Explanation

. Children with Addison’s disease often require increased sodium intake, especially during periods of stress or illness, due to the lack of aldosterone.

B. Addison's disease typically causes fluid volume deficit rather than excess.

C. Addison's disease is more commonly associated with hypoglycemia rather than hyperglycemia.

D. Teaching the parents about cortisol replacement therapy is crucial, as this is the primary treatment for managing Addison’s disease. The child will need lifelong hormone replacement to compensate for the lack of cortisol.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing a client for a kidney biopsy. Which of the following client conditions should the nurse identify as a contraindication for this diagnostic test?

Correct Answer is C

Explanation

A nurse is caring for a child who has Addison's disease. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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