Endocrine-Revised

A nurse is planning preoperative care for a client who has pheochromocytoma. Which of the following interventions should the nurse anticipate as being the priority? graphic •Use same arm for BP measurement. INCORRECT The nurse should measure the client's BP in the same arm to obtain accurate readings. However, this is not the priority intervention. Avoid palpating the abdomen. CORRECT The greatest risk to this client is injury from hypertensive crisis. Therefore, the priority intervention is to avoid palpating the abdomen, which can cause a sudden release of catecholamines, causing a hypertensive crisis. Manage headaches with analgesics. INCORRECT The nurse should administer analgesics to treat the client's headaches. However, this is not the priority intervention. Provide a private, darkened room. INCORRECT The nurse should provide a private, darkened room to promote rest and comfort. However, this is not the priority intervention.

elevate the head of the bed-answer