What is a common impact of patient-to-nurse violence on nursing practice?

A. Coercive power is incorrect. Coercive power is based on the ability to punish or threaten others to gain compliance. In this situation, the nurse manager is not using punishment or threats, so this is not the correct answer.
B. Expert power is incorrect. Expert power is based on the knowledge and skills a person has in a specific area. While the nurse who developed the documentation system may have expertise, the manager's action is not based on the nurse's expertise but on offering a reward for the contribution.
C. Reward power is correct. Reward power is the ability to influence others by providing rewards such as paid leave, promotions, or other incentives. In this scenario, the nurse manager is using reward power by offering paid leave as a reward for the nurse's development of the new documentation system.
D. Referent power is incorrect. Referent power comes from personal relationships and the likability or charisma of a person. While the nurse manager may have referent power, in this case, the focus is on the reward granted to the nurse, which makes reward power the correct answer.

A. Monitor blood pressure closely for fluctuations is correct. After an adrenalectomy for pheochromocytoma, it is critical to closely monitor the client's blood pressure. Pheochromocytomas are tumors of the adrenal glands that cause excessive production of catecholamines (like epinephrine and norepinephrine), leading to severe hypertension. Postoperatively, the sudden removal of the tumor may cause blood pressure fluctuations, including hypotension after the excess catecholamines are no longer being produced. Monitoring blood pressure is key to detecting complications like hypotension or hypertensive crises early.
B. Check the client's urine output every hour is incorrect. While urine output is important to monitor in general postoperative care, it is not the priority in this case. The more immediate concern following adrenalectomy for pheochromocytoma is blood pressure control and hemodynamic stability, not just urine output.
C. Evaluate the client's pain level using a numeric scale is incorrect. While managing pain is essential, the priority assessment postoperatively for this particular procedure is to monitor for hemodynamic changes, particularly due to the risk of fluctuating blood pressure. Pain can be managed after addressing the primary concerns.
D. Assess the surgical site for signs of infection is incorrect. While infection is a concern for any postoperative patient, the most immediate risk after adrenalectomy for pheochromocytoma is hemodynamic instability due to catecholamine imbalance. Monitoring blood pressure takes precedence over checking for infection in the early postoperative period.