NCLEX-PN

Category - Reduction of Risk

A nurse is assigned to care for a client with pheochromocytoma. Which of the following physical assessments is the priority of the nurse?
  1. Blood pressure
  2. Daily weight
  3. Temperature
  4. Respiratory rate
Explanation
Answer: A - Pheochromocytoma, a tumor in the adrenal gland, causes a significant increase in blood pressure. The nurse should monitor the client’s blood pressure to determine the occurrence of hypertensive crisis.
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