While assisting with the surgical removal of an adrenal tumor, the OR nurse is aware that the patient's vital signs may change upon manipulation of the tumor. What vital sign changes would the nurse expect to see?
A) Hyperthermia and tachypnea
B) Hypertension and heart rate changes
C) Hypotension and hypothermia
D) Hyperthermia and bradycardia
Ans: B
Feedback:
Manipulation of the tumor during surgical excision may cause release of stored epinephrine and norepinephrine, with marked increases in BP and changes in heart rate. The use of sodium nitroprusside and alpha-adrenergic blocking agents may be required during and after surgery. While other vital sign changes may occur related to surgical complications, the most common changes are related to hypertension and changes in the heart rate.
You might also like to view...
An organization is planning an evaluation of the health care provided to clients. This evaluation should be:
a. conducted only by individual disciplines. b. multidisciplinary only. c. conducted by nurses. d. multidisciplinary and intradisciplinary.
The nurse is admitting a client of the Muslim faith during the holy month of Ramadan. The client tells the nurse that he must fast during this time. Which of the following would be an appropriate response by the nurse?
1. "What can we do to accommodate your needs during your stay here?" 2. "I will let your doctor know so he can discharge you." 3. "Fasting is harmful to your body." 4. "You must have food during times of illness."
While assessing vital signs of a patient with a head injury and increased intracranial pressure (IICP), a nurse notes that the patient's respiratory rate is 8 breaths/min. How will the nurse interpret this finding?
A) bradypnea is uncommon in patient with IICP B) IICP most commonly results in tachypnea C) bradypnea is a response to IICP D) this is a normal respiratory rate
A new patient is having a preconception physical exam. During the exam, the clinic nurse assesses the patient for: Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. Pattern of exercise. 2. An acceptable birth plan. 3. Body mass index over 30. 4. Diarrhea. 5. Hemoglobin under 12 g/dl.