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galekias galekias
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Posts: 320
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6 years ago
The nurse is instructing a client diagnosed with a brain tumor on symptoms to immediately report to her physician. Which of the following should be included in these instructions? (Select all that apply.)
 
  1. New onset of seizures
  2. One-sided weakness
  3. Loss of balance
  4. Problems with vision
  5. Inability to talk
  6. Loss of appetite

Question 2

A client asks the nurse to explain symptoms that would indicate the presence of a brain tumor. Which of the following should the nurse respond to this client? (Select all that apply.)
 
  1. There are no symptoms specific to a brain tumor.
  2. Dizziness is a common symptom.
  3. Ringing or buzzing in the ears can occur.
  4. Seizures may occur.
  5. A headache that gets worse in the afternoon is specific to a brain tumor..
  6. A headache is usually experienced by 50 of all people diagnosed with a brain tumor.

Question 3

The nurse is providing discharge instructions to a client recovering from a traumatic brain injury. Which of the following should be included in these instructions? (Select all that apply.)
 
  1. Return to a full schedule of work as soon as possible.
  2. Acquire medical clearance prior to returning to work that uses heavy equipment.
  3. Avoid the use of helmets.
  4. Limit the amount of alcoholic beverages.
  5. Avoid all illicit drug use.
  6. Eat a well-balanced diet.

Question 4

The nurse, planning care for a client recovering from a traumatic brain injury, is including interventions to prevent sympathetic storming. Which of the following should be included in this client's plan of care? (Select all that apply.)
 
  1. Medicate for pain prior to conducting a painful procedure.
  2. Elevated blood pressure indicates a sympathetic storm is ending.
  3. Continue suctioning until the client's heart rate is greater than 100 beats per minute.
  4. Cardiac arrhythmias indicate a drop in intracranial pressure.
  5. Provide beta-blockers as prescribed with symptoms of sympathetic storm.
  6. If symptoms of sympathetic storm do not appear within 24 hours, the client will not develop this health problem.

Question 5

A client, being tested for a stroke, is not a candidate for tPA. Which of the following would be contraindicated for the use of tPA? (Select all that apply.)
 
  1. Minor ischemic stroke within 30 days
  2. Glucose level 120 mg/dL
  3. Blood pressure 190/120 mmHg
  4. Lumbar puncture 2 days ago
  5. Stroke onset 5 hours ago
  6. INR 1.0

Question 6

A client diagnosed with a brain tumor is going to receive chemotherapy. The nurse realizes that which of the following medications would most likely be prescribed for this client's treatment?
 
  1. Carmustine
  2. Digoxin
  3. Aminophylline
  4. Acetaminophen
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Replies
wrote...
6 years ago
The answer to question 1  1, 2, 3, 4, 5
Brain tumor symptoms that require immediate attention include new onset of seizures, slow progressing hemiparesis, gait or balance disturbances, visual problems, hearing loss, and aphasia. Loss of appetite is not a brain tumor symptom.

The answer to question 2  2, 3, 4, 6
Symptoms of a brain tumor include dizziness, ringing or buzzing in the ears, seizures, and a headache. The headache of a brain tumor is usually worse in the morning and not the afternoon. There are symptoms associated with a brain tumor.

The answer to question 3  2, 5, 6
Discharge instructions for a client recovering from a traumatic brain injury should include: medical clearance is needed prior to returning to work that uses heavy equipment; avoid all illicit drug use; and eat a well-balanced diet. The client should be cautioned to avoid returning to a full schedule of work as soon as possible. The client should be encouraged to use helmets or other safety equipment to protect the head. The clients should be instructed to avoid all alcoholic beverages.

The answer to question 4  1, 5
The nurse should medicate the client for pain prior to conducting a painful procedure and provide beta-blockers as prescribed with symptoms of a sympathetic storm. An elevated blood pressure is a symptom of sympathetic storm. An elevated heart rate is a symptom of sympathetic storming. Cardiac arrhythmias are also a symptom of a sympathetic storm and do not indicate a drop in intracranial pressure. Symptoms of sympathetic storming can occur within 24 hours after a traumatic brain injury and can reoccur periodically during the recovery process.

The answer to question 5  1, 3, 4, 5
Contraindications of tPA to treat an embolic stroke include minor ischemic stroke within the last 30 days, blood pressure greater an 185 mmHg systolic or greater than 110 mmHg diastolic, lumbar puncture within the last 3 days, and onset of stroke greater than 3 hours. Glucose level of 120 mg/dL and INR of 1.0 would not be contraindications for tPA therapy.

The answer to question 6  1
One of the biggest obstacles for chemotherapeutic agents when treating brain tumors is selecting a medication that will cross the blood-brain barrier. Carmustine can cross the blood-brain barrier. The other medications are not used as chemotherapy for brain tumors.
galekias Author
wrote...
6 years ago
Electric Light Bulb All of these are right, thanks!
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