A child has been admitted with suspected pheochromocytoma. What action by the nurse takes priority?
A.
Auscultate lung sounds every 4 hours during fluid therapy.
B.
Facilitate stat laboratory draws when the child has episodic symptoms.
C.
Perform a complete abdominal assessment including palpation.
D.
Withhold water for 8 hours and collect hourly urine samples.
ANS: B
When the child has episodic symptoms of pheochromocytoma, it is important to have stat labs drawn to measure catecholamine levels, which will be transiently high. The other actions are not warranted.
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