What are appropriate nursing interventions when administering sodium nitroprusside to a patient with a history of pheochromocytoma?

When administering sodium nitroprusside to a patient with a history of pheochromocytoma, the most appropriate intervention involves titrating the infusion according to mean arterial pressure (MAP) or blood pressure (BP) as prescribed. Sodium nitroprusside is a powerful vasodilator that requires careful monitoring and adjustment of its dosage to avoid hypotension and other adverse effects.

In patients with pheochromocytoma, a tumor of the adrenal glands that secretes catecholamines, the potential for significant fluctuations in blood pressure is heightened. Therefore, closely monitoring the patient's blood pressure and potentially adjusting the infusion rate based on real-time measurements ensures that therapeutic goals are met without causing excessive drops in blood pressure, which could lead to serious complications. This proactive approach allows for time-sensitive interventions that are crucial in managing the patient's cardiovascular state effectively.

Other options do not prioritize the necessity of monitoring and adjusting the treatment based on the patient's specific hemodynamic status. For instance, placing the patient on bed rest may be relevant in some contexts but does not specifically address the critical nature of dosing and monitoring during sodium nitroprusside infusion in this unique patient population.