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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Encouraging the UAP to demonstrate the effective use of the incentive spirometer may not be appropriate since the UAP may not have the necessary training or expertise to provide proper instruction.
B. Scheduling time later to review the use of the spirometer does not address the immediate need for the client to understand how to use it effectively and may delay important interventions for respiratory health.
C. Asking the practical nurse assigned to care for the client to review the use of the spirometer ensures that the client receives accurate and professional guidance. The practical nurse has the training to properly instruct the client on the effective use of the incentive spirometer, which is crucial for preventing complications like atelectasis.
D. Advising the UAP that the respiratory therapist is responsible for supervising the client's use of the spirometer does not empower the UAP to take action and does not address the immediate concern regarding the client’s ineffective use.

A. Change the normal saline to a keep open rate until an infusion pump is available. B. Increase the rate of the present normal saline infusion to 75 drops per minute. C. Leave the normal saline at the current rate until an infusion pump is available. D. Switch the saline to Lactated Ringer's solution infusing at 75 drops per minute.

Correct Answer is C

Explanation

Choice A: Changing the normal saline to a keep-open rate (KVO) is not appropriate in this situation, as the client has specific fluid orders that need to be followed, and a KVO rate would not provide the prescribed maintenance fluids.

Choice B: Increasing the rate of the present normal saline infusion to 75 drops per minute would not meet the prescription for 0.9% normal saline at 75 ml/hour.

Adjusting the rate this way would require an infusion pump.

Choice C: Leaving the normal saline at the current rate until an infusion pump is available is the most appropriate action. It ensures that the client continues to receive fluids at the ordered rate until the necessary equipment is in place.

Choice D: Switching the saline to Lactated Ringer's solution infusing at 75 drops per minute would not meet the prescribed rate for the normal saline solution. The nurse should follow the specific orders provided.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The unlicensed assistive personnel (UAP) who is caring for a postoperative client reports to the charge nurse that the client is not using the incentive spirometer effectively. What action should the charge nurse implement?

Correct Answer is C

Explanation

Correct Answer is C

Explanation

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