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

A.

Decreased pulse

B.

Elevated blood pressure

C.

Cold intolerance

D.

Decreased respiratory rate

Answer and Explanation

The Correct Answer is B

Rationale:

 

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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View Related questions

Correct Answer is D

Explanation

Rationale:

A. Theophylline is a bronchodilator used in the management of asthma.

B. Montelukast is a leukotriene receptor antagonist that helps control asthma symptoms.

C. Prednisone is a corticosteroid used to reduce inflammation during an asthma exacerbation.

D. Propranolol is a non-selective beta-blocker that can cause bronchoconstriction and should be avoided in clients with asthma, as it may exacerbate their condition.

Correct Answer is C

Explanation

Rationale:

A. Discomfort at the puncture site is expected after a thoracentesis and typically managed with analgesics.

B. A decreased temperature is not a common complication of thoracentesis and might indicate other issues, but it is not immediately alarming.

C. An increased heart rate (tachycardia) could be a sign of a pneumothorax, hemorrhage, or other serious complications following thoracentesis. This requires immediate assessment and intervention.

D. Serosanguineous drainage is expected to some extent, but it should be monitored for changes that might indicate a complication such as infection or continued bleeding.

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