ML Quiz Ch 70

A nurse is providing care to a client who has been diagnosed with metastatic brain cancer. When developing the client's plan of care, which outcome would the nurse most likely identify? A. Removal of all or part of the tumor B. Improved quality of life C. Elimination of distressing signs and symptoms D. Reduced incidence of recurrence

B

An acoustic neuroma is a benign tumor of which cranial nerve? A. Fifth B. Eighth C. Seventh D. Ninth

B

Excessive levels of which neurotransmitter has been implicated in amyotrophic lateral sclerosis (ALS)? A. Epinephrine B. Glutamate C. Dopamine D. Serotonin

B

The nurse teaches the client with which disorder that the disease is due to decreased levels of dopamine in the basal ganglia of the brain? A. Huntington disease B. Parkinson disease C. Creutzfeldt-Jakob disease D. Multiple sclerosis

B

What is the only known risk factor for brain tumors? A. Cellular telephones B. Ionizing radiation C. Head trauma D. Use of hair dyes

B

Which diagnostic is most commonly used for spinal cord compression? A. Computed tomography (CT) B. Magnetic resonance imaging (MRI) C. X-ray D. Positron emission tomography (PET)

B

Which disease is associated with decreased levels of dopamine due to destruction of pigmented neuronal cells? A. Creutzfeldt-Jakob disease B. Parkinson disease C. Huntington disease D. Multiple sclerosis

B

Bone density testing in clients with post-polio syndrome has demonstrated A. osteoarthritis. B. calcification of long bones. C. low bone mass and osteoporosis. D. no significant findings.

C

An older adult patient exhibiting clinical manifestations of a brain tumor is admitted to the hospital for testing. What tumor types does the nurse know are commonly seen in the older adult? A. Glioblastoma B. Anaplastic astrocytoma C. Ependymoma D. Cerebral metastasis from other sites E. Medulloblastoma

A, D, E

The nurse is caring for a patient with Huntington's disease in the long-term care facility. What does the nurse recognize as the most prominent symptom of the disease that the patient exhibits? A. Slow, shuffling gait B. Dementia C. Dysphagia and dysphonia D. Rapid, jerky, involuntary movements

D

The nursing is assessing a client who has been diagnosed with a pituitary adenoma, but has not yet started treatment. The client reports having increased heart rate, hand tremors, difficulty sleeping, weight loss and hyperthermia. The nurse anticipates the client will require blood work to assess for overproduction of which hormone? A. Thyroid-stimulating hormone B. Adrenocorticotropic hormone C. Prolactin D. Growth hormone

A

A client with an incurable brain tumor is experiencing nausea and vomiting and has little interest in eating. His family states, "We don't know how to help him." Which of the following would be appropriate for the nurse to suggest to help improve the client's nutritional intake? Select all that apply. A. Ensure that the client is free of pain for meals. B. Place the client near the sounds and smells of meals being prepared. C. Plan meals for times when the client is rested. D. Prepare the client for the insertion of a feeding tube. E. Provide the client with foods that he likes.

A, C, E

Which disease includes loss of motor neurons in the anterior horns of the spinal cord and motor nuclei of the lower brain stem? A. Huntington disease B. Amyotrophic lateral sclerosis C. Parkinson disease D. Alzheimer disease

B

Which of the following is a hallmark of spinal metastases? A. Nausea B. Change in level of consciousness (LOC) C. Pain D. Fatigue

C

A client with a brain tumor experiences projectile vomiting. The nurse integrates understanding of this occurrence as resulting from which of the following? A. Compression of surrounding structures B. Edema associated with the tumor C. Distortion of pain-sensitive structures D. Irritation of the medullary vagal centers

D

A nurse assesses a patient who has been diagnosed with having a pituitary adenoma that is pressing on the third ventricle. The nurse looks for the associated sign/symptom. What is that sign/symptom? A. Disruption in sleep patterns B. Unusual sensitivity to heat and cold C. Visual disturbances D. Increased intracranial pressure

D

Which statement indicates appropriate nursing intervention for a client with post-polio syndrome? A. Plan activities for evening hours rather than morning hours B. Administer antiretroviral agents C. Avoid the use of heat applications in the treatment of muscle and joint pain D. Provide care aimed at slowing the loss of strength and maintaining overall well-being.

D

A client is admitted reporting low back pain. How will the nurse best determine if the pain is related to a herniated lumbar disc? A. Have the client lie on the back and lift the leg, keeping it straight. B. Ask if the client has had a bowel movement. C. Ask if the client can walk. D. Ask the client if there is pain on ambulation.

A

The nurse is caring for a client who was diagnosed with a glioma 5 months ago. Today, the client was brought to the emergency department by his caregiver because he collapsed at home. The nurse suspects late signs of rising intracranial pressure (ICP) when which blood pressure and pulse readings are noted? A. BP =130/80 mm Hg; HR = 55 bpm B. BP = 175/45 mm Hg; HR = 42 bpm C. BP = 150/90 mm Hg; HR = 90 bpm D. BP = 90/50 mm Hg; HR = 75 bpm

B

The nurse teaches the client that corticosteroids will be used to treat his brain tumor to A. prevent extension of the tumor. B. identify the precise location of the tumor. C. reduce cerebral edema. D. facilitate regeneration of neurons.

C

The nurse is caring for a client with mid-to-late stage of an inoperable brain tumor. What teaching is important for the nurse to do with this client? A. Offering family support groups B. Managing muscle weakness C. Explaining hospice care and services D. Optimizing nutrition

C

A 37-year-old mother of three has just been diagnosed with a grade I meningioma. As part of patient education, the nurse tells the patient that: A. Surgery, which can result in complete removal of the possible tumor, should be done as soon as possible. B. The tumor is malignant and aggressive. C. Growth is slow and symptoms are caused by compression rather than tissue invasion. D. The tumor will cause pressure on the eighth cranial nerve.

C

A male client who has undergone a cervical discectomy is being discharged with a cervical collar. Which of the following would be most appropriate to include the client's discharge plan? A. Keeping the head in a neutral position B. Removing the entire collar when shaving C. Moving the neck from side to side when the collar is off D. Wearing the cervical collar when sleeping

A

The nurse educator is providing orientation to a new group of staff nurses on an oncology unit. Part of the orientation is to help nurses understand the differences between various types of brain tumors. The nurse educator correctly identifies that glioma tumors are classified based on the fact that they originate where in the brain? A. In the cranial nerves B. Within the brain tissue C. From metastasis of a primary tumor D. From the coverings of the brain

B

After undergoing surgery for removal of a spinal cord tumor, the client is placed in the side-lying position. The nurse places a pillow between the client's knees to prevent: A. cerebrospinal fluid (CSF) leakage. B. pressure injury. C. body misalignment. D. knee flexion.

D

A patient is diagnosed with an aggressive, primary malignant brain tumor. The nurse is aware that the glioma: A. Originated within the brain tissue. B. Developed on the cranial nerves. C. Metastasized from a cancer in another part of the body. D. Originated from the coverings of the brain.

A

The nurse is caring for a client who has been hospitalized for investigation of a sudden change in gait due to loss of balance and coordination. A magnetic resonance imaging scan reveals the client has a brain tumor. On or close to which brain structure is the tumor most likely situated? A. Cerebellum B. Pituitary gland C. Temporal lobe D. Brain stem

A

The nurse teaches the client diagnosed with Huntington disease that it is transmitted as which type of genetic disorder? A. Autosomal dominant B. X-linked C. Autosomal recessive D. Non -repeated HTT gene

A

A client is scheduled to receive Gamma Knife therapy. The nurse interprets this as which form of therapy? A. External beam radiation therapy B. Open biopsy C. Stereotactic radiosurgery D. Surgical resection

C

A client seeks care for lower back pain of 2 weeks' duration. Which assessment finding suggests a herniated intervertebral disk? A. Homans' sign B. Back pain when the knees are flexed C. Pain radiating down the posterior thigh D. Atrophy of the lower leg muscles

C

The nurse explains to the client with projectile vomiting and severe headache that a medication is being prescribed to reduced edema surrounding the brain and lessen these symptoms. What medication is the nurse preparing to administer? A. Bevacizumab B. Temozolomide C. Mannitol D. Everolimus

C

The nurse identifies a nursing diagnosis of self-care deficit, bathing related to motor impairment and decreased cognitive function for a client with cerebral metastasis. Which outcome would the nurse most likely identify on this client's plan of care? A. Client demonstrates positive coping strategies. B. Client consumes adequate calories to meet energy needs. C. Client participates in daily hygiene activities with assistive devices. D. Client expresses feelings related to self-care ability.

C

A client has just been diagnosed with Parkinson's disease. The nurse is teaching the client and family about dietary issues related to this diagnosis. Which of the following are risks for this client? Select all that apply. A. Anorexia B. Fluid overload C. Constipation D. Dysphagia E. Choking

C, D, E

A client has undergone surgery for a spinal cord tumor that was located in the cervical area. The nurse would be especially alert for which of the following? A. Hemorrhage B. Skin breakdown C. Bowel incontinence D. Respiratory dysfunction

D

Which of the following outcomes would be most appropriate to include in the plan of care for a client diagnosed with a muscular dystrophy? A. Client participates in activities of daily living using adaptive devices. B. Client verbalizes understanding of the chronic nature of the disorder. C. Client describes the importance of diagnostic follow-up to evaluate the disorder. D. Client demonstrates understanding of the need to adhere to medication therapy.

A

The nurse is assessing a client who was brought to the emergency department due to a severe headache with sudden onset, lowered level of consciousness and slurred, non-sensical speech. The client completed chemotherapy and radiation treatment for a glioma-type brain tumor 6 months ago. The client has been taking low molecular weight heparin since completing treatment. The nurse should be prepared to provide care for which possible problem? A. Pulmonary embolism B. Spinal metastasis C. Intracerebral hemorrhage D. Deep vein thrombosis

C

The nurse is caring for a client who underwent surgery to remove a spinal cord tumor. When conducting the postoperative assessment, the nurse notes the presence of a bulge at the surgical site. The nurse suspects the client is experiencing what complication from the surgery? A. Growth of a secondary tumor B. Impaired tissue healing C. Cerebrospinal fluid leakage D. Infection at the surgical site

C

The nurse is seeing a client who is suspected of having a glioblastoma multiforme tumor. The nurse anticipates the client will require which diagnostic test to confirm the client has this form of brain tumor? A. Weber and Rinne test B. Tissue biopsy C. An increase in prolactin D. Audible bruit over the skull

B

The nurse educator is teaching nursing students about various types of brain tumors. The instructor recognizes that teaching has been effective when students correctly identify a client whose lab work indicates excessively high levels of thyroid stimulating hormone would most likely be diagnosed with which type of tumor? A. Pituitary adenoma B. Angioma C. Glioblastoma D. Neuroma

A

A client with a malignant glioma is scheduled for surgery. The client demonstrates a need for additional teaching about the surgery when he states which of the following? A. "There will be less cancer left that might be resistant to chemotherapy." B. "The surgeon will be able to remove all of the tumor." C. "Any tissue that was dead will be removed." D. "My headache and nausea should be lessened somewhat."

B

A nurse knows that a patient exhibiting seizure-like movements localized to one side of the body most likely has what type of tumor? A. A cerebellar tumor B. A motor cortex tumor C. A frontal lobe tumor D. An occipital lobe tumor

B

The nurse is providing postoperative care for a client who just underwent surgery to remove a metastatic intramedullary tumor. On postoperative day 3, the client states, "I am really looking forward to going running again, it had become too difficult because of the loss of feeling in my feet." Which should the nurse address in the client's care plan? A. Impaired cognition B. Body image disturbance C. Knowledge deficit D. Anxiety

C