A client with pheocromocytoma reports the onset of a severe headache.

The nurse observes that the client is very diaphoretic. Which assessment

data should the nurse obtain first.

Blood pressure

2- The drainage in the chest tube of a client with emphysema has changed

from clear watery fluid. What action would be best for the nurse to take/

Maintain the current IV antibiotic schedule

3- A client is admitted with a sudden onset of right sided the nursecomplete

first?

Observe for peripheral edema

4- When planning care for a client newly diagnose with open angle

glaucoma, the nurse identifies a priority nursing diagnosis of “Visual

sensory/perceptual alterations”. This diagnosis is based on which

etiology?

Decreased peripheral vision