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
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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Correct Answer is C
Explanation
Rationale:
A. Limiting walking episodes may reduce discomfort but does not address the underlying issue or potential complications.
B. While leg cramps can be common during pregnancy, calf pain could also indicate a more serious condition, such as deep vein thrombosis (DVT), and should not be dismissed as normal without further investigation.
C. Gathering further assessment data is crucial to determine the cause of the calf pain, as it may indicate DVT, a potentially life-threatening condition. The nurse should assess for other symptoms like swelling, redness, or warmth in the leg.
D. Instructing the client to elevate the legs may be appropriate for general discomfort, but without proper assessment, it may not be the correct intervention if DVT is present.
Correct Answer is A
Explanation
Rationale:
A. Smoking cessation is the most effective measure for preventing chronic bronchitis, as smoking is the leading cause of this condition.
B. Regular moderate exercise is beneficial for overall health and respiratory function but is not as directly effective in preventing chronic bronchitis as smoking cessation.
C. Maintaining an ideal weight is important for overall health but does not directly prevent chronic bronchitis.
D. Annual influenza immunization helps prevent respiratory infections that could exacerbate chronic bronchitis but does not prevent the development of the disease itself.