A hospitalized patient is diagnosed with a pheochromocytoma, a tumor of the adrenal medulla. Which clinical manifestation should the nurse expect to observe?

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Question 1 of 5

A hospitalized patient is diagnosed with a pheochromocytoma, a tumor of the adrenal medulla. Which clinical manifestation should the nurse expect to observe?

Correct Answer: B

Rationale: A pheochromocytoma is a tumor of the adrenal medulla. It results in the hypersecretion of catecholamines, such as norepinephrine. Signs and symptoms are related to the effects of increased catecholamines: tachycardia, hypertension, palpitations, headaches, weight loss, and hyperglycemia.

Question 2 of 5

The nurse is assessing a client who has suspected hypothyroidism. Which of the following findings is consistent with this diagnosis?

Correct Answer: A

Rationale: Hypothyroidism slows metabolism, causing memory impairment; exophthalmos and fever are hyperthyroid signs.

Question 3 of 5

The nurse is caring for a client who has hyperglycemic-hyperosmolar state (HHS) and is receiving a continuous IV infusion of regular insulin. It would require immediate follow up if the client has a

Correct Answer: C

Rationale: Rapid glucose drop (>100 mg/dL/hr) risks cerebral edema, requiring immediate follow-up.

Question 4 of 5

Which laboratory result indicates that fluid restrictions have been effective in treating SIADH?

Correct Answer: C

Rationale: Increased serum sodium indicates corrected hyponatremia from fluid restriction in SIADH.

Question 5 of 5

The nurse is preparing the room for the client returning from a thyroidectomy. Which items are important for the nurse to have available for this client? (Select ONE that does not apply.)

Correct Answer: C

Rationale: Post-thyroidectomy risks include hypocalcemia (calcium gluconate), airway obstruction (tracheotomy kit), and hypoxia (oxygen).

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