A nurse is caring for a client with suspected pheochromocytoma. The nurse recognizes that which of the following is the priority action?

Obtain hourly glucose levels

Prepare client for a CT scan

Request order for serum calcium levels

Monitor Blood Pressure

Answer and Explanation

The Correct Answer is D

A. Monitoring glucose levels may be necessary, as pheochromocytoma can cause hyperglycemia, but it is not the immediate priority.
B. A CT scan may be part of the diagnostic process to locate the adrenal tumor, but the priority is to control blood pressure first due to the risk of severe hypertensive crisis.
C. Serum calcium levels are not directly related to pheochromocytoma and are not a priority action.
D. Monitoring blood pressure is critical, as pheochromocytoma causes episodes of severe hypertension, which can lead to life-threatening complications.

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Correct Answer is A

Explanation

A. Hypertension with bradycardia is characteristic of autonomic dysreflexia due to the exaggerated sympathetic response causing increased blood pressure while the body compensates with bradycardia.
B. Hypotension with tachycardia is not indicative of autonomic dysreflexia; instead, it suggests different underlying issues.
C. While hypertension can occur in autonomic dysreflexia, it is typically accompanied by bradycardia, not tachycardia.
D. Hypotension with bradycardia does not correlate with autonomic dysreflexia and suggests other health complications.

A. Encouraging the client to perform deep breathing exercises. B. Elevating the head of the bed. C. Administering a sedative. D. Monitoring intracranial pressure (ICP).

Correct Answer is D

Explanation

A. Encouraging deep breathing exercises may help with respiratory function but does not address the immediate risks associated with increased ICP.
B. Elevating the head of the bed can help reduce ICP; however, the priority intervention is to closely monitor ICP to identify any changes in the client's condition.
C. Administering a sedative may be appropriate, but it is not as critical as monitoring ICP in a client with Cushing's Triad, where altered consciousness and respiratory changes may be present.
D. Monitoring ICP is crucial in this situation, as Cushing's Triad indicates a potential increase in ICP, and timely interventions can prevent further complications.

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A nurse is caring for a client with suspected pheochromocytoma. The nurse recognizes that which of the following is the priority action?

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client with autonomic dysreflexia. The nurse correlates which clinical manifestations to autonomic dysreflexia in a client with a spinal cord injury?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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