For a client with a pheochromocytoma, the most critical assessment by the nurse is

a. abdominal girth.
b. blood pressure.
c. daily weight.
d. pulse quality.


B
Hypertension is the principal manifestation of pheochromocytoma and can be persistent, fluc-tuating, intermittent, or paroxysmal in nature. Because of the excessive epinephrine and norepi-nephrine they secrete, pheochromocytomas can produce severe manifestations and even death. The other three options are not seen in pheochromocytoma.

Nursing

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The client at 38 weeks' gestation has been diagnosed with oligohydramnios. Which statement indicates that teaching about the condition has been effective?

1. "My gestational diabetes might have caused this problem to develop." 2. "When I go into labor, I should come to the hospital right away." 3. "This problem was diagnosed with blood and urine tests." 4. "Women with this condition usually do not have a cesarean birth."

Nursing

Which information is the nurse most likely to find when assessing the family of a patient with a serious mental illness?

a. The family exhibits many characteristics of dysfunctional families. b. Several family members have serious problems with their physical health. c. Power in the family is maintained in the parental dyad and rarely delegated. d. Stress from living with a mentally ill member has challenged the family's function.

Nursing

A nurse remembers the majority of total airway resistance occurs in the:

a. bronchi. b. nose. c. oral pharynx. d. diaphragm.

Nursing

Emma, age 3 years, is being admitted for about 1 week of hospitalization. Her parents tell the nurse that they are going to buy her "a lot of new toys because she will be in the hospital." The nurse's reply should be based on an understanding that:

a. New toys make hospitalization easier. b. New toys are usually better than older ones for children of this age. c. At this age children often need the comfort and reassurance of familiar toys from home. d. Buying new toys for a hospitalized child is a maladaptive way to cope with parental guilt.

Nursing