A nurse is caring for a client with a pheochromocytoma. Which assessment finding will the nurse expect for this client?

Decreased pulse

Elevated blood pressure

Cold intolerance

Decreased respiratory rate

Answer and Explanation

The Correct Answer is B

A. A decreased pulse is not typically associated with pheochromocytoma. This condition is characterized by the excessive release of catecholamines, which usually leads to an increased heart rate.

B. Pheochromocytoma is a tumor of the adrenal medulla that causes excessive secretion of catecholamines, leading to episodic or sustained hypertension. Elevated blood pressure is a hallmark symptom of this condition.

C. Cold intolerance is more commonly associated with hypothyroidism and is not a typical finding in pheochromocytoma.

D. Decreased respiratory rate is not characteristic of pheochromocytoma; instead, clients may experience symptoms such as palpitations, sweating, and headaches due to the elevated catecholamine levels.

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Correct Answer is D

Explanation

A. Levofloxacin is an antibiotic used to treat bacterial infections, not hypothyroidism.

B. Radioactive iodine is used to treat hyperthyroidism by reducing thyroid hormone production, not hypothyroidism.

C. Sumatriptan is a medication used to treat migraines, not hypothyroidism.

D. Levothyroxine is the standard treatment for hypothyroidism. It is a synthetic form of the thyroid hormone thyroxine (T4) and helps to normalize thyroid function by supplementing the hormone that the thyroid gland is not producing adequately

A. The hematocrit (Hct) B. The erythrocyte sedimentation rate (ESR) C. The leukocyte count D. The platelet count

Correct Answer is A

Explanation

A. Epoetin alfa is used to stimulate the production of red blood cells, so an increase in hematocrit levels would indicate a therapeutic effect. This is particularly important in clients with chronic renal disease, who often suffer from anemia due to decreased erythropoietin production by the kidneys.

B. The erythrocyte sedimentation rate (ESR) is a nonspecific measure of inflammation and is not used to monitor the effectiveness of epoetin alfa therapy.

C. The leukocyte count measures white blood cells and is not affected by or used to assess the effectiveness of epoetin alfa.

D. The platelet count measures platelets in the blood and is not related to the therapeutic effects of epoetin alfa, which targets red blood cell production.

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A nurse is caring for a client with a pheochromocytoma. Which assessment finding will the nurse expect for this client?

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Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has a new diagnosis of hypothyroidism. On which of the following medications should the nurse prepare to instruct the client?

Correct Answer is D

Explanation

A nurse is caring for a client who has chronic renal disease and is receiving therapy with epoetin alfa. Which of the following laboratory results should the nurse review for an indication of a therapeutic effect of the medication?

Correct Answer is A

Explanation

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