When the nurse is designing a plan of care for a client diagnosed with pheochromocytoma, a goal statement should be prepared that relates to which topic?
Medication teaching concerning thyroid hormones
Client and family referral to a hospice.
Psychological counseling to address body image changes.
Preoperative and postoperative teaching for adrenalectomy.
The Correct Answer is D
Choice A: Medication teaching concerning thyroid hormones is not directly related to the care of a client with pheochromocytoma. Pheochromocytoma primarily involves the adrenal glands and excessive secretion of catecholamines.
Choice B: Referral to a hospice is not a relevant goal for a client diagnosed with pheochromocytoma. Hospice care is typically provided for clients with advanced, life- limiting illnesses, and pheochromocytoma can often be treated or managed.
Choice C: Psychological counseling to address body image changes is not the primary goal for a client with pheochromocytoma. While psychological support may be beneficial, the primary focus should be on addressing the physiological effects and treatment of pheochromocytoma.
Choice D: Preoperative and postoperative teaching for adrenalectomy is the most relevant goal for a client with pheochromocytoma. Surgical removal of the tumor (adrenalectomy) is the primary treatment for pheochromocytoma, and education about the procedure, preparation, and postoperative care is essential to ensure a successful outcome.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A: Teaching clients about the potential side effects of antipsychotic drugs is important, but it is not the most critical aspect of medication administration policy. Monitoring for side effects and adverse reactions is typically the responsibility of healthcare providers and nursing staff.
Choice B: Monitoring all clients receiving antipsychotic drugs for indications of tardive dyskinesia is a crucial standard to include in the policy. Tardive dyskinesia is a serious side effect associated with long-term use of antipsychotic medications, and early detection and intervention are essential to prevent its progression.
Choice C: Ensuring that all clients treated with antipsychotic drugs receive prompt renewals as needed is important for continuity of care, but it is not the primary focus of a policy for administering antipsychotic medications.
Choice D: Documenting all client therapeutic serum levels related to antipsychotic medications is relevant but may not apply to all clients receiving these medications. Monitoring for side effects and adverse reactions is generally more universally applicable and critical to patient safety.
Correct Answer is A
Explanation
Choice A: Offering water to the client hourly is an important intervention, especially for older clients who may be prone to dehydration. Confusion can sometimes be a symptom of dehydration, so ensuring adequate hydration is essential.
Choice B: Reviewing the intake and output record is important for assessing the client's fluid balance but may not directly address the client's current confusion.
Choice C: Increasing daily sodium intake would not be appropriate without a specific indication, and it may not address the client's confusion.
Choice D: Reducing dairy product intake is not a standard intervention for confusion and may not be appropriate unless there is a specific dietary restriction or allergy in place.
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