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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?

A.

Obtain hourly glucose levels

B.

Prepare client for a CT scan

C.

Request order for serum calcium levels

D.

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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View Related questions

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.

Correct Answer is B

Explanation

A. Quadriplegia, or tetraplegia, is typically associated with injuries at or above the C4 level, not T2-T3.

B. A T2-T3 spinal cord injury can lead to loss of sensation and motor function below the level of injury, affecting the thoracic region and lower body.

C. Hemiplegia, which refers to paralysis on one side of the body, is typically due to brain injuries or strokes, not spinal cord injuries.

D. While bladder control may be affected, the most direct impact of T2-T3 injury is the loss of sensation and motor function below that level.

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