30. What should a nurse monitor first when caring for a client who is undergoing treatment for pheochromocytoma?
30. What should a nurse monitor first when caring for a client who is undergoing treatment for pheochromocytoma?
Test-Taking Tip
Choose an option that, if treated, will likely correct other findings—that is, lower the BP, and the pulse and ECG will likely stabilize.
Content Area: Adult Health, Hematological; Integrated Process: Nursing Process, Assessment; Cognitive Level: Analysis; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/System Specific Assessments
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Answer 1 is incorrect because tachycardia would be the next concern after the blood pressure was stabilized or controlled. Answer 2 is incorrect because blood pressure is the first concern. Hyperglycemia may be present, and insulin may be required. Answer 3 is correct because treatment initially is directed at reducing the marked elevation of blood pressure quickly. Answer 4 is incorrect because dysrhythmias occur as a result of the elevated blood pressure. Controlling the blood pressure will reduce the likelihood that the client will develop ECG changes.
