Medical surgical Nursing 2023
a nurse is collecting data from a client who has a new diagnosis of pheochromocytoma.
Which of the following findings should the nurse expect? - CORRECT ANSWERS
***Hypertension
The nurse should expect a client who has a pheochromocytoma to exhibit severe
hypertension. The client's systolic blood pressure can be as high as 300 mm Hg, with a
diastolic blood pressure exceeding 150 mm Hg. Other manifestations include nausea,
weakness, and severe headache. Pheochromocytoma is a rare tumor of the adrenal
gland that secretes excessive amounts of epinephrine and norepinephrine.
Bradycardia
The nurse should expect a client who has pheochromocytoma to exhibit tachycardia
due to excessive production of epinephrine and norepinephrine. Other manifestations
include nausea, weakness, and severe headache.
Abdominal pain
Dry mouth
a nurse is monitoring a client who has a new prescription for furosemide for peripheral
edema. For which of the following adverse effects should the nurse monitor? -
CORRECT ANSWERS ******Muscle weakness
Furosemide is a loop diuretic, which is used to treat hypertension and edema.
Furosemide can cause excess excretion of potassium. The nurse should monitor the
client for manifestations of hypokalemia such as nausea, muscle weakness, and
spasms.
A strong, bounding pulse
Furosemide is a loop diuretic, which is used to treat hypertension and edema. The
nurse should monitor the client for manifestations of dehydration, which include weak
pulse, decreased urine output, and poor skin turgor.
Hypertension
Furosemide is a loop diuretic, which is used to treat hypertension and edema. The
nurse should monitor the client for manifestations of orthostatic hypotension, such as
dizziness when standing up.
Motor ataxia: Furosemide is a loop diuretic, which is used to treat hypertension and
edema. The nurse should monitor the client for muscle spasms, which is an adverse
effect of furosemide
a nurse is caring for a client who has heart failure and the new prescription for
furosemide. the nurse should monitor the client for which of the following manifestations
, as an adverse effect of the medications? - CORRECT ANSWERS Alopecia: Alopecia
is not an adverse effect of furosemide. The nurse should monitor the client for other
dermatologic adverse effects of furosemide, such as pruritus, rash, and urticaria.
Hypoglycemia: The nurse should monitor the client for hyperglycemia as an adverse
effect of furosemide. The nurse should inform the client about manifestations of
hyperglycemia, such as polydipsia, polyuria, polyphagia, fatigue, and muscle weakness.
Seizures: The nurse should monitor the client for other CNS adverse effects of
furosemide, such as blurred vision, dizziness, and headache.
****Tinnitus
The nurse should monitor the client for tinnitus or hearing loss as adverse effects of
furosemide. Ototoxicity, or the potential to damage hearing, is unique to loop diuretics
such as furosemide.
CA schedule for CT
-pt dont want scan done
-what should u say? - CORRECT ANSWERS "You might change your mind about
treatment if the results of the CT scan show improvement."
"I think you should discuss this with your family before making your decision."
"You should have it done for your family's sake, even if you do not want to know the
results."
***"I will inform your provider that you have chosen not to have the CT scan performed."
pt reports amenotthea and insomnia
what to report? - CORRECT ANSWERS The client's T4 is above the expected
reference range of 4 to 12 mcg/dL, which indicates hyperthyroidism. The nurse should
report this value to the provider so that treatment for hyperthyroidism can begin.
reinforce teaching for chronic renal failure c epoetin alfa
what to include? - CORRECT ANSWERS Epoetin alfa is a hormone that stimulates the
production of red blood cells. It is used in the treatment of specific types of anemia.
Therapeutic effects are indicated by an increase in hematocrit resulting in a decreased
requirement for blood transfusions.
neutropenia reinforce teaching? - CORRECT ANSWERS Bathe with antimicrobial
soap daily.
Take temperature daily.
Avoid gardening.
a nurse is collecting data from a client who has a new diagnosis of pheochromocytoma.
Which of the following findings should the nurse expect? - CORRECT ANSWERS
***Hypertension
The nurse should expect a client who has a pheochromocytoma to exhibit severe
hypertension. The client's systolic blood pressure can be as high as 300 mm Hg, with a
diastolic blood pressure exceeding 150 mm Hg. Other manifestations include nausea,
weakness, and severe headache. Pheochromocytoma is a rare tumor of the adrenal
gland that secretes excessive amounts of epinephrine and norepinephrine.
Bradycardia
The nurse should expect a client who has pheochromocytoma to exhibit tachycardia
due to excessive production of epinephrine and norepinephrine. Other manifestations
include nausea, weakness, and severe headache.
Abdominal pain
Dry mouth
a nurse is monitoring a client who has a new prescription for furosemide for peripheral
edema. For which of the following adverse effects should the nurse monitor? -
CORRECT ANSWERS ******Muscle weakness
Furosemide is a loop diuretic, which is used to treat hypertension and edema.
Furosemide can cause excess excretion of potassium. The nurse should monitor the
client for manifestations of hypokalemia such as nausea, muscle weakness, and
spasms.
A strong, bounding pulse
Furosemide is a loop diuretic, which is used to treat hypertension and edema. The
nurse should monitor the client for manifestations of dehydration, which include weak
pulse, decreased urine output, and poor skin turgor.
Hypertension
Furosemide is a loop diuretic, which is used to treat hypertension and edema. The
nurse should monitor the client for manifestations of orthostatic hypotension, such as
dizziness when standing up.
Motor ataxia: Furosemide is a loop diuretic, which is used to treat hypertension and
edema. The nurse should monitor the client for muscle spasms, which is an adverse
effect of furosemide
a nurse is caring for a client who has heart failure and the new prescription for
furosemide. the nurse should monitor the client for which of the following manifestations
, as an adverse effect of the medications? - CORRECT ANSWERS Alopecia: Alopecia
is not an adverse effect of furosemide. The nurse should monitor the client for other
dermatologic adverse effects of furosemide, such as pruritus, rash, and urticaria.
Hypoglycemia: The nurse should monitor the client for hyperglycemia as an adverse
effect of furosemide. The nurse should inform the client about manifestations of
hyperglycemia, such as polydipsia, polyuria, polyphagia, fatigue, and muscle weakness.
Seizures: The nurse should monitor the client for other CNS adverse effects of
furosemide, such as blurred vision, dizziness, and headache.
****Tinnitus
The nurse should monitor the client for tinnitus or hearing loss as adverse effects of
furosemide. Ototoxicity, or the potential to damage hearing, is unique to loop diuretics
such as furosemide.
CA schedule for CT
-pt dont want scan done
-what should u say? - CORRECT ANSWERS "You might change your mind about
treatment if the results of the CT scan show improvement."
"I think you should discuss this with your family before making your decision."
"You should have it done for your family's sake, even if you do not want to know the
results."
***"I will inform your provider that you have chosen not to have the CT scan performed."
pt reports amenotthea and insomnia
what to report? - CORRECT ANSWERS The client's T4 is above the expected
reference range of 4 to 12 mcg/dL, which indicates hyperthyroidism. The nurse should
report this value to the provider so that treatment for hyperthyroidism can begin.
reinforce teaching for chronic renal failure c epoetin alfa
what to include? - CORRECT ANSWERS Epoetin alfa is a hormone that stimulates the
production of red blood cells. It is used in the treatment of specific types of anemia.
Therapeutic effects are indicated by an increase in hematocrit resulting in a decreased
requirement for blood transfusions.
neutropenia reinforce teaching? - CORRECT ANSWERS Bathe with antimicrobial
soap daily.
Take temperature daily.
Avoid gardening.
