A client has been diagnosed with pheochromocytoma. Which clinical manifestation is most indicative of this condition?

1. Water loss
2. Bradycardia
3. Hypertension
4. Decreased cardiac output


Answer : 3. Hypertension

The client with pheochromocytoma has a benign or malignant tumor in the adrenal medulla. Because the medulla secretes epinephrine and norepinephrine, the client will exhibit signs related to excesses of these catecholamines, including tachycardia, increased cardiac output, and increased blood pressure. Vasoconstriction of the renal arteries triggers the renin-angiotensin system, resulting in water reabsorption and retention.

Nursing

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The nurse's best response to the patient would be what? A) "These drugs are similar but some patients respond better to one drug than another." B) "Did you take the amitriptyline like you should have?" C) "Maybe the old medicine wasn't working anymore." D) "Clomipramine is newer and will be much better for you."

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One of the major purposes of a literature review is to ascertain what the existing evidence indicates about a given research problem

A) True B) False

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A nurse is planning and implementing care for vulnerable populations. Which of the following would be the most appropriate action for the nurse to take?

a. Setting up multiple clinics in a wide geo-graphic area b. Advising legal consultants on a variety of issues c. Making laws to protect the homeless d. Teaching vulnerable individuals strategies to prevent illness and promote health

Nursing

A clinic nurse is assessing a child who takes methylphenidate (Ritalin) for the treatment of attention-deficit/hyperactivity disorder (ADHD). The nurse knows that a potential side effect from the prolonged use of methylphenidate (Ritalin) is:

A) Psychosis. B) Decreased intelligence. C) Sore throat. D) A decrease in rate of growth and development.

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