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 B

Explanation

A. While reporting dizziness is important, it does not directly aid in managing vertigo episodes.
B. Instructing the client to get up slowly while turning their entire body helps to reduce vertigo symptoms by minimizing head movement, which can trigger or worsen dizziness in Meniere’s disease.
C. Driving is not recommended during symptomatic periods of vertigo, as it could be unsafe.
D. The logroll technique is typically used for clients with spinal issues rather than vertigo management in Meniere’s disease.

A. A 19-year-old male on low dose steroids for a week B. A 35-year-old female who completed 3 weeks of steroids. C. An 80-year-old female who takes steroids daily. D. A 45-year old male with COPD who uses intermittent steroids.

Correct Answer is C

Explanation

A. A short-term, low-dose steroid use (one week) has minimal risk for adrenal suppression.
B. Three weeks of steroids increases risk, but daily use presents a higher risk.
C. Prolonged daily steroid use, especially in an older adult, poses the greatest risk for adrenal insufficiency due to suppression of the hypothalamic-pituitary-adrenal (HPA) axis.
D. Intermittent steroid use is less likely to cause adrenal insufficiency compared to daily long-term use.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client with Meniere's disease. The nurse recognizes that which of the following instructions should be given to the client regarding vertigo?

Correct Answer is B

Explanation

A nurse is screening clients for adrenal insufficiency. The nurse recognizes that which client is at greatest risk for adrenal insufficiency?

Correct Answer is C

Explanation

A nurse is caring for a client that has been diagnosed with external otitis. Which of the following clinical symptoms should the nurse be monitoring?

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