ch 65 oncology neuro Flashcards
(39 cards)
a nurse is assessing a client with an acoustic neuroma who has been recently admitted to an oncology unit. what symptoms is the nurse most likely to find during the initial assessment?
loss of hearing, tinnitus, and vertigo
a 25 year old client with brain metastasis is considering life expectancy after the client;s most recent meeting with her oncologist. based on the fact that the client is not receiving treatment for the brain metastases what is the nurse’s most appropriate action?
ensuring that the client receives adequate palliative care
the nurse is writing a care plan for a client with brain metastases. the nurse decides that an appropriate nursing diagnosis is “anxiety related to lack of control over their health circumstances”. in establishing this plan of care for the patient, the nurse should include which intervention?
encouragement to verbalize concerns related to the disease and its treatment
the clinic nurse caring for a client with Parkinson’s disease notes that the client has been taking levo-carpidopa for 7 years. for what common side effect should the nurse assess this client?
Dyskinesia
the nurse is caring for a boy who has muscular dystrophy. when planning assistance with the client’s ADLs, what goal should the nurse prioritize?
maximizing the client’s level of function
a 37 year old client is brought to the clinic by the spouse because the client is experiencing loss of motor function and sensation. the health care provider suspects the client has a spinal tumor and hospitalizes the client for diagnostic testing. in light to the need to rule out spinal cord compression from a tumor, the nurse will most likely prepare the client for what test?
MRI
a client with Parkinson’s Disease is undergoing a swallowing assessment because the client has recently developed adventitious lung sounds. the client’s nutritional needs should be met by what method?
semisolid food with thick liquids
a client, diagnosed with cancer of the lung, has just been told the cancer has metastasized to the brain. what change in health status would the nurse attribute to the clients metatastic brain disease?
personality changes
a client has just been diagnosed with Parkinson’s and the nurse is planning the client’s subsequent care for the home setting. what nursing diagnosis should the nurse address when educating the clients family?
risk for injury
the nurse is caring for a client with Huntington disease who has been admitted to the hospital for treatment of malnutrition. what independent nursing action should be implemented in the client’s plan of care?
apply deep, gentle pressure around the client’s mouth to aid swallowing
a client has been admitted to the neurologic unit for the treatment of a newly diagnosed brain tumor. the client has just exhibited seizure activity for the first time. what is the nurses priority response to this event?
implement precautions to ensure client’s safety
a client diagnosed with a pituitary adenoma has arrived on the neuro unit. when planning the client’s care, the nurse should be aware that the effects of the tumor will primarily depend on what variable?
the specific hormones secreted by the tumor
a client with a metastatic brain tumor of the frontal lobe experiences a generalized seizure for the first time. the nurse should prepare for what action?
administration of anticonvulsants
the nurse in an extended care facility is planning the daily activities of a client with post polio syndrome. the nurse recognizes the client will best benefit from physical therapy when it is scheduled at what time?
in the morning
a client newly diagnosed with a cervical disk herniation is receiving health education from the clinic nurse. what conservative management measures should the nurse teach the client to implement?
sleep on a firm mattress
a client has just returned to the unit from the PACU after surgery for a tumor within the spine. the client reports pain. when positioning the client for comfort and to reduce injury to the surgical site, the nurse will position the client in what position?
in a flat side lying position
a client with amyotrophic lateral sclerosis (ALS) is being visited by the home health nurse who is creating a care plan. which of the following nursing diagnoses is most likely for a client with this condition?
impaired verbal communication
the nurse is caring for a client with a brain tumor who is experiencing symptoms due to compression and infiltration of normal tissue. the pathophysiologic changes that result can cause what manifestations? select all that apply.
-increased ICP
-focal neurologic signs
-altered pituitary function
the nurse is caring for a client newly diagnosed with a primary brain tumor. the client asks the nurse where the tumor came from. What would be the nurse’s best response?
your tumor originated from cells within your brain itself
a gerontologic nurse is advocating for diagnostic testing of an 81 year old client who is experiencing personality changes. the nurse is aware for what factor that is known to affect the diagnosis and treatment of brain tumors in older adults?
the effects of brain tumors are often attributed to the cognitive effects of aging
a client who has been experiencing numerous episodes of unexplained headaches and vomiting has subsequently been referred for testing to rule out a brain tumor. what characteristic of the clients vomiting is most consistent with a brain tumor?
the clients vomiting is unrelated to food intake
a male client presents at the free clinic with reports of erectile dysfunction. upon physical examination, the nurse practitioner notes the presence of hypogonadism. what diagnosis should the nurse expect?
prolactinoma
the nurse is planning the care of a client who has been recently diagnosed with a cerebellar tumor. due to the location of this client’s tumor, the nurse should implement measures to prevent what complication?
falls
a client has been admitted to the neuro ICU with a diagnosis of a brain tumor. the client is scheduled to have a tumor resection/removal in the morning. which of the following assessement parameters should the nurse include in the initial assessment?
gag reflex
