Med Surg: Chapter 44: Nursing Management: Patients With Oncologic Disorders of the Brain and Spinal Cord

A client with a cerebellar brain tumor is admitted to an acute care facility. The nurse formulates a nursing diagnosis of Risk for injury. Which "related-to" phrase should the nurse add to complete the nursing diagnosis statement? A Related to difficulty swallowing B Related to impaired balance C Related to visual field deficits D Related to psychomotor seizures

B

Which of the following is a late symptom of spinal cord compression? A Paralysis B Fecal incontinence C Urinary incontinence D Urinary retention

A

A 30-year-old female patient has been referred to a specialist by her primary care provider because she has recently developed fat pads at the base of her neck, an increasingly round face, and striae at various locations. The patient's signs of illness have been attributed to a brain tumor. What type of brain tumor is most likely to result in these changes to the woman's physical appearance? A Glioma B Meningioma C Acoustic neuroma D Pituitary adenoma

D Adrenocorticotropic hormone (ACTH)-producing pituitary adenomas result in Cushing's disease, which is characterized by signs and symptoms that include a "buffalo hump," a rounded face, and striae.

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

B

The nurse is caring for a client with an inoperable brain tumor. What is a major threat to this client? A Hypovolemia B Increased intracranial pressure C Decreased intracranial pressure D Hypervolemia

B

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 Explaining hospice care and services B Managing muscle weakness C Offering family support groups D Optimizing nutrition

A

A patient has just returned to the unit from the PACU after surgery for a tumor within the spine. The patient complains of pain. When positioning the patient for comfort and to reduce injury to the surgical site, the nurse will position the patient in what position? A In the Trendelenburg position B In a flat side-lying position C In the lithotomy position D In the reverse Trendelenburg position

B

After a transsphenoidal adenohypophysectomy, a client is likely to undergo hormone replacement therapy. A transsphenoidal adenohypophysectomy is performed to treat which type of cancer? A Esophageal carcinoma B Pituitary carcinoma C Laryngeal carcinoma D Colorectal carcinoma

B

Which of the following diagnostic studies provides visualization of cerebral blood vessels? A Cytologic studies of cerebrospinal fluid (CSF) B Positron emission tomography (PET) C Cerebral angiography D Computer-assisted stereotactic biopsy

C

A client with muscle weakness and an abnormal gait is being evaluated for muscular dystrophy. Which test or finding confirms muscular dystrophy? A Electromyography B Muscle biopsy C Gram stain of muscle tissue D Family history of muscular dystrophy

B

A 17-year-old adolescent with a history of muscular dystrophy is admitted with aspiration pneumonia. The nurse asks the parents if the client has an advance directive. Which response by the parents leads the nurse to believe that the parents don't understand the severity of the client's medical condition? A "He has pneumonia; I shouldn't have let him go to that party last week." B "Yes, he has an advance directive." C "This is the third time he's had pneumonia in the past 6 months. I'm afraid he needs a feeding tube." D "He is only 17. He doesn't need an advance directive."

D

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

A client who has just been diagnosed with mixed muscular dystrophy asks the nurse about the usual course of this disease. How should the nurse respond? A "The strength of your arms and pelvic muscles will decrease gradually, but this should cause only slight disability." B "This form of muscular dystrophy is a relatively benign disease that progresses slowly." C "You should ask your physician about that." D "You may experience progressive deterioration in all voluntary muscles."

D

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

D

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 Angioma B Neuroma C Glioblastoma D Pituitary adenoma

D

The nursing instructor gives their students an assignment of making a plan of care for a client with Huntington's disease. What would be important for the students to include in the teaching portion of the care plan? A How to take a bath B How to exercise C How to perform household tasks D How to facilitate tasks such as using both hands to hold a drinking glass

D

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

D

A client diagnosed with Huntington's disease has developed severe depression. What would be most important for the nurse to assess for? A Suicidal ideations B Choreiform movements C Loss of bowel and bladder control D Emotional apathy

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 Brain stem D Temporal lobe

A