Disorders of the Adrenal AQ
What treatment would be provided to a patient with bilateral adrenal hyperplasia to block aldosterone synthesis? Multiple choice question Amiloride Spironolactone Dexamethasone Aminoglutethimide
Aminoglutethimide Aminoglutethimide is prescribed to patients with bilateral adrenal hyperplasia to block aldosterone synthesis. Amiloride and spironolactone are potassium-sparing diuretics used to maintain normal potassium levels. Dexamethasone is used to control elevated blood pressure in a patient with bilateral adrenal hyperplasia.
Which syndrome would be suspected in a patient who has Addison's disease along with other endocrine conditions? Multiple choice question Hashimoto's thyroiditis Autoimmune polyglandular syndrome Multiple endocrine neoplasia Syndrome of Inappropriate antidiuretic hormone (SIADH)
Autoimmune polyglandular syndrome Addison's disease is an autoimmune disorder caused by the destruction of adrenal tissue by antibodies. When it occurs along with other endocrine disorders, Addison's disease is called autoimmune polyglandular syndrome. Hashimoto's thyroiditis, multiple endocrine neoplasia syndrome, and syndrome of Inappropriate antidiuretic hormone (SIADH) are not associated with these conditions.
The nurse is caring for a patient with pheochromocytoma. Which intervention would help prevent the sudden release of catecholamines and sudden hypertension? Multiple choice question Nourishing the patient with a healthy diet Avoiding palpations of the patient's abdomen Advising the patient to rise slowly from the bed Administering α- and β-blockers preoperatively to the patient
Avoiding palpations of the patient's abdomen The nurse should avoid palpating the abdomen of a patient with suspected pheochromocytoma because the action may cause the sudden release of the catecholamines and severe hypertension. A healthy diet promotes the overall health of the patient. Advising the patient to rise slowly from the bed helps prevent orthostatic hypotension. Administering α- and β-blockers preoperatively helps prevent an intraoperative hypertensive crisis.
A patient with hypertension undergoes testing on his or her serum electrolyte and plasma aldosterone levels. The laboratory findings showed plasma 18-hydroxycorticosterone levels as 60 ng/dL, potassium level as 2.5 mEq/L, and sodium level as 150 mEq/L. What could be the diagnosis? Multiple choice question Conn's syndrome Addison's disease Cushing syndrome Pheochromocytoma
Conn's syndrome Conn's syndrome, or hyperaldosteronism, is characterized by increased aldosterone secretion, increased serum sodium levels, and decreased serum potassium levels. The normal level of 18-hydroxycorticosterone in blood is less than 50 ng/dL; 60 ng/dL indicates an increase in aldosterone secretion. The normal range of serum potassium is 3.5 to 5 mEq/L; a value of 2.5 mEq/L indicates hypokalemia. The normal range of serum sodium is 135 to 145 mEq/L; a value of 150 mEq/L indicates hypernatremia. Addison's disease is characterized by abnormal levels of adrenocorticotropic hormone, hyperkalemia, and hyponatremia. Cushing syndrome is characterized by abnormal adrenocorticotropic hormone levels, hyperglycemia, and eosinopenia. Pheochromocytoma is characterized by increased levels of catecholamines such as epinephrine and norepinephrine.
Which finding is consistent with a diagnosis of hyperaldosteronism? Multiple choice question Edema Hypernatremia Low blood pressure Potassium retention
Hypernatremia In hyperaldosteronism, elevated levels of aldosterone are associated with sodium retention, which leads to hypernatremia. Edema and low blood pressure are not caused by an increase in sodium excretion. Elevated levels of aldosterone lead to potassium excretion.
Which test is more reliable to diagnose pheochromocytoma? Multiple choice question Urinary cortisol Urine osmolality Urinary creatinine Urinary aldosterone
Urinary creatinine Pheochromocytoma is a disorder of the adrenal medulla; urinary creatinine is used to diagnose this disorder. Urinary cortisol, urine osmolality, and urinary aldosterone are used to diagnose Addison's disease.
The nurse is teaching a patient with Addison's disease about corticosteroid therapy. The nurse should prioritize which of these teaching points? Multiple choice question "Plan a high-carbohydrate diet." "Increase your daily intake of sodium." "Decrease your daily intake of calcium." "Do not stop taking the medication abruptly."
"Do not stop taking the medication abruptly." The patient should be instructed to not stop the medication abruptly because this can cause adverse side effects. Patients taking corticosteroids should not consume a high-carbohydrate diet, because corticosteroids increase blood sugar. Patients should also increase their daily intake of calcium to prevent bone loss due to the side effects of corticosteroids. Patients should also decrease, not increase, their daily intake of sodium to avoid fluid retention.
A patient with pheochromocytoma is prescribed propranolol during preoperative care. Which instruction provided by the nurse is most appropriate to prevent complications in the patient? Multiple choice question "Obtain adequate rest." "Make postural changes cautiously." "Have a blood pressure check frequently." "Consult your primary health care provider if you have severe headache."
"Make postural changes cautiously." Propranolol is a β-adrenergic receptor blocker that is administered during preoperative care to treat tachycardia, dysrhythmias, and high blood pressure, in order to prevent intraoperative hypertensive crisis. Propranolol causes orthostatic hypotension, so postural changes should be made cautiously, to prevent falls. Adequate rest should be taken by the patient, but it is not related to preventing falls. Blood pressure should be monitored regularly to prevent hypertensive crisis. A severe headache should be reported to the primary health care provider for immediate intervention; however, this condition is unconnected to complications of propranolol.
A patient has developed Cushing syndrome due to the prolonged administration of corticosteroid hormonal therapy. What course of action should be taken to treat the patient? Multiple choice question Withholding therapy for few days Conversion to an alternate-day regimen Abrupt discontinuance of corticosteroids Gradual discontinuance of corticosteroids
Gradual discontinuance of corticosteroids Corticosteroid hormone doses should be decreased gradually until the discontinuation of therapy if the therapy leads to Cushing syndrome. The therapy should not be withheld for a few days. Alternate-day regimen cannot be applied for hormonal therapy. Discontinuing the therapy suddenly might lead to adrenal insufficiency, which is life threatening.
Which hormone has both mineralocorticoid and glucocorticoid properties? Multiple choice question Cortisol Prednisone Aldosterone Hydrocortisone
Hydrocortisone Hydrocortisone is an exogenous hormone that has both mineralocorticoid and glucocorticoid properties and is used to treat adrenal insufficiency. Cortisol is the primary glucocorticoid secreted by the adrenal cortex. Prednisone is an exogenous corticosteroid that is used to treat Cushing syndrome. Aldosterone is the primary mineralocorticoid secreted by the adrenal cortex.
Which condition may be linked to Conn's syndrome? Multiple choice question Hyperaldosteronism Hypoaldosteronism Hyperparathyroidism Hypoparathyroidism
Hyperaldosteronism Conn's syndrome is associated with the excessive production of aldosterone (hyperaldosteronism) by the adrenal glands. Conn's syndrome is characterized by high blood pressure, headache, poor vision, and various complications. Hypoaldosteronism, hyperparathyroidism, and hypoparathyroidism may not be linked with Conn's syndrome.
Which is a clinical manifestation of Cushing syndrome? Multiple choice question Hypovolemia Hypokalemia Hyperkalemia Hyponatremia
Hypokalemia Hypokalemia is a sign of Cushing syndrome because of the hyperfunctioning of the adrenal cortex. Hypovolemia, hyperkalemia, and hyponatremia are clinical manifestations of Addison's disease because of the hypofunctioning of the adrenal cortex.
The patient is brought to the emergency department following a car accident and is wearing medical identification that says the patient has Addison's disease. What should the nurse expect to be included in the collaborative care of this patient? Multiple choice question Low-sodium diet Increased glucocorticoid replacement Suppression of pituitary adrenocorticotropic hormone (ACTH) synthesis Elimination of mineralocorticoid replacement
Increased glucocorticoid replacement The patient with Addison's disease needs lifelong glucocorticoid and mineralocorticoid replacement and has an increased need with illness, injury, or stress, as this patient is experiencing. The patient with Addison's also may need a high-sodium diet. Suppression of pituitary ACTH synthesis is done for Cushing's syndrome. Elimination of mineralocorticoid replacement cannot be done for Addison's disease.
During surgery for Cushing syndrome, a patient develops hypertension, which has a potential to increase the risk of hemorrhage. What should be done to stop the risk of hemorrhage? Multiple choice question Maintain normal fluid intake and output during surgery. Maintain normal respiratory and heart rate during surgery. Maintain normal levels of endogenous hormones during surgery. Maintain normal blood pressure and electrolyte levels during surgery.
Maintain normal levels of endogenous hormones during surgery. A high level of endogenous hormones results in hypertension and may increase the risk of hemorrhage; therefore, the level of endogenous hormones should be maintained during surgery. During surgery high doses of corticosteroids are administered, which causes variation in the fluid balance. The heart and respiratory rate also differ from the normal range due to increased level of endogenous hormones. Administration of high doses of corticosteroids results in imbalance of electrolyte levels and difference in the blood pressure from the normal range.
In developing a teaching plan for the patient with Addison's disease, what is the nurse's highest priority? Multiple choice question Avoiding infection Following a low-salt diet Practicing stress management techniques Managing lifelong corticosteroid replacement
Managing lifelong corticosteroid replacement The patient with Addison's disease experiences hypofunctioning of the adrenal cortex, resulting in decreased production of glucocorticoids, mineral corticoids, and androgens. Patients with Addison's disease require lifelong glucocorticoid and mineral corticoid replacement therapy to avoid Addisonian crisis. Addisonian crisis is characterized by profound hypotension, dehydration, fever, tachycardia, hyponatremia, and hyperkalemia. Circulatory collapse may occur if the patient is treated inadequately. Although Addisonian crisis often is triggered by illness-related physiologic stress, and although avoiding infection is important, avoiding infection is of lower priority than managing lifelong corticosteroid replacement. Corticosteroid replacement must be increased during times of stress to prevent Addisonian crisis. Patients taking a mineralocorticoid should increase their salt intake. Emotional stress may contribute to the need for increased corticosteroid replacement. Stress management techniques are important. Practicing stress management techniques, however, is of lower priority than managing lifelong corticosteroid replacement.
A patient with adrenocortical insufficiency is prescribed hydrocortisone. Which drugs should be avoided in the patient's prescription? Multiple choice question Oral contraceptives, antiepileptics, and nonsteroidal antiinflammatory drugs (NSAIDs) Oral hypoglycemics, anticoagulants, and nonsteroidal antiinflammatory drugs (NSAIDs) Antihypertensives, oral hypoglycemics, and nonsteroidal antiinflammatory drugs (NSAIDs) Antiepileptics, antihypertensives, and oral hypoglycemics
Oral hypoglycemics, anticoagulants, and nonsteroidal antiinflammatory drugs (NSAIDs) Hydrocortisone is a corticosteroid. Oral hypoglycemics, anticoagulants, and nonsteroidal antiinflammatory drugs (NSAIDs) have potential interactions with corticosteroids and should be avoided by a patient taking hydrocortisone. Note that antiepileptics and antihypertensives may or may not interact with corticosteroids.
Which type of health education should a nurse provide to a patient who is on corticosteroid therapy? Select all that apply. Multiple selection question Co-administer opioids. Restrict sodium intake. Reduce physical exercise. Maintain a high-protein diet. Ensure adequate rest and sleep.
Restrict sodium intake. Maintain a high-protein diet. Ensure adequate rest and sleep. High sodium intake may cause edema and should be avoided. Patients on corticosteroid therapy should adhere to a high-protein diet to promote healing and reduce inflammation. Adequate rest and sleep help facilitate a quick recovery. Opioid therapy should be avoided, because it may have adverse effects when co-administered with corticosteroids. Reduction in exercise may promote bone density loss.
A patient is diagnosed with adrenocortical insufficiency. Which laboratory findings would be consistent with this diagnosis? Select all that apply. Multiple selection question Serum sodium: 140 mEq/L Serum potassium: 6.5 mEq/L Blood glucose levels: 80 mg/dL Blood urea nitrogen (BUN): 30 mg/dL Electrocardiogram (ECG): Peaked T waves
Serum potassium: 6.5 mEq/L Blood glucose levels: 80 mg/dL Electrocardiogram (ECG): Peaked T waves Adrenocortical insufficiency leads to hyperkalemia, hypoglycemia, peaked T waves in ECG, hyponatremia, and increased blood urea nitrogen levels. Normal serum electrolyte ranges include sodium from 135 to 145 mEq/L, potassium from 3.5 to 5 mEq/L, glucose from 70 to 99 mg/dL, and blood urea nitrogen from 6 to 20 mg/dL. A serum potassium level of 6.5 mEq/L shows increased serum potassium levels (hyperkalemia). A blood urea nitrogen level of 30 mg/dL shows increased levels. Peaked T waves are observed in electrocardiogram due to hyperkalemia.
Which statement is true about pheochromocytoma? Multiple choice question The primary treatment is drug therapy. An attack is provoked by antiepileptic medications. Decreased levels of epinephrine and norepinephrine are observed. Severe pounding headaches and profuse sweating are clinical features.
Severe pounding headaches and profuse sweating are clinical features Severe pounding headache and profuse sweating are clinical features of pheochromocytoma. Although drug therapy is administered during preoperative care to reduce complications, the primary treatment is surgery. The attack is provoked by opioids, not antiepileptic medications. Epinephrine and norepinephrine levels rise in patients with pheochromocytoma.
A female patient who is on drug therapy for hyperaldosteronism develops menstrual disorders. Which prescribed drug may be the cause of this condition? Multiple choice question Spironolactone Amlodipine Dexamethasone Aminoglutethimide
Spironolactone Spironolactone is a potassium-sparing diuretic given to patients with hyperaldosteronism to treat hyperkalemia. This drug can cause menstrual disorders in women. Amlodipine and dexamethasone both control high blood pressure. Aminoglutethimide is given to decrease aldosterone synthesis.
A patient with hyperaldosteronism is prescribed eplerenone. What advice would the nurse give the patient regarding eplerenone? Multiple choice question "Avoid coffee." "Eat more bananas." "Avoid grapefruit juice." "Eat more sugar, candy, and syrups."
"Avoid grapefruit juice." Grapefruit juice should be avoided in patients taking eplerenone because the drink leads to increased levels of eplerenone in blood and causes toxicity. Coffee should be avoided because it may interrupt sleep; however, coffee does not affect eplerenone action. Eplerenone may cause hyperkalemia, so bananas should be avoided. Sugar, candy, and syrups are concentrated simple carbohydrates and should be avoided.
What may be the cause of iatrogenic Addison's disease? Multiple choice question Infarction Tuberculosis Fungal infections Adrenal hemorrhage
Adrenal hemorrhage Iatrogenic Addison's disease may be caused by an adrenal hemorrhage, which is related to anticoagulant therapy, chemotherapy, or ketoconazole therapy for acquired immunodeficiency syndrome (AIDS). Infarction, tuberculosis, and fungal infections may lead to Addison's disease.
A nurse creating a plan of care for a patient with Addison's disease expects that primary treatment will include: Multiple choice question Blood transfusions Ablation of the thyroid Oral calcium supplementation Adrenocorticosteroid replacement therapy
Adrenocorticosteroid replacement therapy Because Addison's disease results from a deficiency of adrenocorticosteroid hormones, steroid therapy is the primary treatment. Blood transfusions, thyroid ablation, and oral calcium supplements are not primary treatments for Addison's disease.
The nurse creates a plan of care for a patient with a pheochromocytoma. What is an appropriate expected outcome for the patient? Multiple choice question Verbalizing coping mechanisms Maintaining a normotensive state Maintaining a decreased activity level Demonstrating compliance with dietary instructions
Maintaining a normotensive state A pheochromocytoma is a benign tumor of the adrenal gland, the major manifestation of which is severe hypertension due to excessive secretion of catecholamines, such as epinephrine. Therefore, the priority goal for this patient would be to maintain a normal blood pressure, or a normotensive state. At least 10% to 30% of patients require antihypertensive medication after the surgery. If the blood pressure returns to a normotensive state, the need to verbalize coping mechanisms, a decreased activity level, and compliance with dietary restrictions do not apply.
A patient has been taking oral prednisone for the past several weeks after having an exacerbation of asthma. The nurse has explained the procedure for gradual reduction rather than sudden cessation of the drug. What is the rationale for this approach to drug administration? Multiple choice question Prevention of hypothyroidism Prevention of diabetes insipidus Prevention of adrenal insufficiency Prevention of cardiovascular complications
Prevention of adrenal insufficiency Sudden cessation of corticosteroid therapy can precipitate life-threatening adrenal insufficiency. Diabetes insipidus, hypothyroidism, and cardiovascular complications are not common consequences of suddenly stopping corticosteroid therapy.
The patient with an adrenal hyperplasia is returning from surgery for an adrenalectomy. For what immediate postoperative risk should the nurse plan to monitor the patient? Multiple choice question Vomiting Infection Thromboembolism Rapid blood pressure changes
Rapid blood pressure changes The risk of hemorrhage is increased with surgery on the adrenal glands as well as large amounts of hormones being released in the circulation, which may produce hypertension and fluid and electrolyte imbalances for the first 24 to 48 hours after surgery. Vomiting, infection, and thromboembolism may occur postoperatively with any surgery.
A patient is diagnosed with Cushing syndrome and the cause was found to be a pituitary adenoma. What treatment should be provided to the patient? Multiple choice question Radiation therapy Transphenoidal resection Drug therapy with mitotane Drug therapy with ketoconazole
Transphenoidal resection A transphenoidal resection is the surgical removal of a pituitary tumor. This surgery is the standard treatment of Cushing syndrome caused by a pituitary adenoma. Radiation and drug therapies may be given if a patient is not an ideal candidate for surgery.
A patient with adrenal insufficiency is advised to take corticosteroids for four months. What should be told to the patient about how to prevent osteoporosis? Select all that apply. Multiple selection question "Eat a protein-rich diet." "Take vitamin D tablets." "Avoid a calcium-rich diet." "Avoid bisphosphonates." "Avoid high-impact exercise."
"Take vitamin D tablets." "Avoid high-impact exercise." Vitamin D tablets should be taken to aid in calcium absorption to prevent osteoporosis. The patient should be advised to do low-impact exercise rather than high-impact exercise, because high-impact exercise may lead to complications. A protein-rich diet should be eaten by patients undergoing corticosteroid therapy; this diet will not lower the risk of osteoporosis. A calcium-rich diet and bisphosphonates help to prevent osteoporosis.
What level of urine cortisol indicates Cushing syndrome? Multiple choice question 100 mcg/24 hr 110 mcg/24 hr 120 mcg/24 hr 130 mcg/24 hr
130 mcg/24 hr The normal range of urine cortisol levels lies between 80 and 120 mcg/24 hr. A value of 130 mcg/24 hr indicates a high urinary cortisol level, which is observed in Cushing syndrome.
A patient with a severe pounding headache has been diagnosed with hypertension that is not responding to traditional treatment. What should the nurse expect as the next step in management of this patient? Multiple choice question Administration of β-blocker medications Abdominal palpation to search for a tumor Administration of potassium-sparing diuretics A 24-hour urine collection for fractionated metanephrines
A 24-hour urine collection for fractionated metanephrines Pheochromocytoma should be suspected when hypertension does not respond to traditional treatment. The 24-hour urine collection for fractionated metanephrines is simple and reliable, with elevated values in 95% of people with pheochromocytoma. In a patient with pheochromocytoma preoperatively an α-adrenergic receptor blocker is used to reduce blood pressure. Abdominal palpation is avoided to avoid a sudden release of catecholamines and severe hypertension. Potassium-sparing diuretics are not needed; most likely they would be used for hyperaldosteronism, which is another cause of hypertension.
Which hormone deficiency may lead to a life-threatening condition? Multiple choice question Prolactin Oxytocin Follicle-stimulating hormone (FSH) Adrenocorticotropic hormone (ACTH)
Adrenocorticotropic hormone (ACTH) Adrenocorticotropic hormone (ACTH) may lead to acute adrenal insufficiency and shock. This may result in a life-threatening situation because of sodium and water depletion. Prolactin plays a role in lactation. Oxytocin is a hormone that is particularly functional during and after childbirth. Follicle-stimulating hormone (FSH) is associated with reproduction and is responsible for the development of eggs in females and sperm in males. The absence of these other hormones are not life threatening.
The nurse should monitor for increases in which laboratory value in a patient being treated with dexamethasone? Multiple choice question Sodium Calcium Potassium Blood glucose
Blood glucose Hyperglycemia, or increased blood glucose level, is an adverse effect of corticosteroid therapy. Sodium, calcium, and potassium levels are not affected directly by dexamethasone.
What is the clinical manifestation of Addison's disease? Multiple choice question Delusions Hypokalemia Hyperglycemia Truncal obesity
Delusions Addison's disease occurs due to the hypofunction of adrenal cortex. This hypofunction manifests as delusions, which occur due to decreased levels of glucocorticoids. Hypokalemia, hyperglycemia, and truncal obesity are clinical manifestations of Cushing syndrome that occur due to hyperfunction of the adrenal cortex.
The nurse, providing care to a patient with Cushing's syndrome, understands that the disorder is primarily related to: Multiple choice question Liver dysfunction Chronic renal failure Excessive secretion of adrenocorticosteroid hormones Decreased secretion of adrenocorticosteroid hormones
Excessive secretion of adrenocorticosteroid hormones Cushing's syndrome results from excessive secretion of adrenocorticosteroid hormones, usually caused by pituitary gland tumors or carcinoma of the adrenal glands. It is also the result of excessive steroid intake for other medical conditions or nonmedical use (e.g., sports). Cushing's syndrome is not directly related to liver function or renal failure. It is caused by excessive, not decreased, amounts of adrenocorticosteroid hormones.
Which effect may be observed if large amounts of endogenous corticosteroids are released into systemic circulation during surgery on a patient with Cushing syndrome? Multiple choice question Fatigue Infections Delusions Hypotension
Infections A patient may become susceptible to infections if the endogenous corticosteroid levels are high during surgery. Fatigue and delusions may not occur due to elevated corticosteroids. Hypertension, not hypotension, is observed due to increased levels of corticosteroids.
What treatment is given to a patient with pheochromocytoma to control high blood pressure during preoperative care? Multiple choice question Carvedilol Metyrosine Propranolol Phenoxybenzamine
Phenoxybenzamine Phenoxybenzamine is an α-adrenergic blocker that is used to control blood pressure during preoperative care in a patient with pheochromocytoma. Carvedilol is an -α-antagonist and β-blocker used to treat hypertension. Metyrosine decreases catecholamine production; it is prescribed to patients who are not ideal candidates for surgery. Propranolol is a β-adrenergic blocker that is used to treat dysrhythmias and tachycardia during preoperative care of a patient with pheochromocytoma.
A patient with an endocrine disorder is prescribed corticosteroids. Which parameters should the nurse monitor for early detection of side effects? Select all that apply. Multiple selection question Increased risk for ulcers Decreased bone density Increased potassium levels Decreased risk for infections Increased level of blood pressure
Decreased bone density Increased level of blood pressure Decreased bone density due to the prolonged use of corticosteroids may lead to bone weakness; therefore, the patient is advised to take calcium supplements. Corticosteroids may increase the blood pressure by causing a decrease in the level of potassium and promoting retention of sodium. The drug may increase the risk of ulcers but only if taken on an empty stomach. Corticosteroids tend to suppress the immune system, thereby increasing the risk of infections.
The nurse is caring for a patient with hyperaldosteronism. Which intervention will the nurse prioritize for this patient? Multiple choice question Increase in fluid intake Administration of furosemide Decrease in dietary potassium Frequent blood pressure monitoring
Frequent blood pressure monitoring The priority intervention is for the nurse to frequently monitor the patient's blood pressure since hyperaldosteronism can cause abnormal blood pressure levels. Because patients with hyperaldosteronism will have sodium retention and potassium excretion, a fluid intake increase can contribute to increasing blood pressure. The patient would need to increase his or her daily intake of potassium, not decrease it. The patient would not be given furosemide because this medication will cause a further loss of potassium.
A patient is scheduled for a bilateral adrenalectomy. What does the nurse include in the discharge teaching for this patient? Multiple choice question No replacement therapy will be needed. Weekly adrenocorticotropic hormone (ACTH) injections will be needed. Cortisol will be required if the patient has stress. Lifelong replacement of corticosteroids will be required.
Lifelong replacement of corticosteroids will be required. Discharge instructions are based on the patient's lack of endogenous corticosteroids and resulting inability to physiologically react to stressors. Patients undergoing a bilateral adrenalectomy will require lifetime replacement therapy. ACTH injections are not an option, because both adrenal glands were removed during surgery. Exogenous cortisol is required at all times, and the dose needs to be increased dramatically if the patient experiences stress.
A patient with aldosteronism who has undergone unilateral adrenalectomy is advised to monitor blood pressure (BP) frequently. What is the most appropriate reason behind monitoring BP? Multiple choice question To continue health supervision To assess the success of surgery To check for hypotension after surgery To check whether the blood pressure is controlled or not after surgery
To check whether the blood pressure is controlled or not after surgery Blood pressure (BP) may or may not be controlled after unilateral adrenalectomy in a patient with aldosteronism. Therefore, the BP should be monitored regularly after the surgery. Continuous health supervision is maintained by regularly monitoring the patient's physical and emotional status. BP monitoring can assess the success of the surgery, but this action is not an appropriate reason. Blood pressure should be at optimal levels after the surgery; therefore, checking for hypotension might not be an appropriate reason for monitoring BP.