A client who has a brain tumor is scheduled for surgery. The client asks the nurse what are the possible complications of the surgery. How should the nurse respond?
"The surgery may cause bleeding, infection, or damage to the surrounding brain tissue."
"The surgery may cause seizures, memory loss, or changes in your personality."
"The surgery may cause nausea, vomiting, or difficulty swallowing."
"The surgery may cause hearing loss, vision loss, or facial paralysis."
The Correct Answer is A
Choice A reason:
This statement is true, as explained above.
Choice B reason:
This statement is not specific to the surgery, but to the brain tumor itself. Brain tumors can cause seizures, memory loss, or changes in personality by affecting the function of different areas of the brain.
Choice C reason:
This statement is not specific to the surgery, but to the increased intracranial pressure caused by the brain tumor. Increased intracranial pressure can cause nausea, vomiting, or difficulty swallowing by compressing the brainstem and affecting the autonomic nervous system.
Choice D reason:
This statement is not specific to the surgery, but to the location of the brain tumor. Brain tumors that involve the cranial nerves can cause hearing loss, vision loss, or facial paralysis by impairing their function.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
Choice A reason:
This statement is true. New onset of seizures is a sign of radiation necrosis, which is a delayed complication of radiation therapy that occurs when normal brain tissue dies due to radiation exposure. Radiation necrosis can cause neurological deficits such as seizures by affecting the function of different areas of the brain and disrupting the electrical activity of neurons.
Choice B reason:
This statement is true. Increased intracranial pressure is a sign of radiation necrosis, which is a delayed complication of radiation therapy that occurs when normal brain tissue dies due to radiation exposure. Radiation necrosis can cause increased intracranial pressure by applying pressure to surrounding brain tissue and impairing cerebral blood flow and cerebrospinal fluid drainage.
Choice C reason:
This statement is false. Hair loss at the radiation site is not a sign of radiation necrosis, but a common side effect of radiation therapy that occurs when hair follicles are damaged by radiation exposure. Hair loss at the radiation site is usually temporary and reversible.
Choice D reason:
This statement is true. Cognitive impairment is a sign of radiation necrosis, which is a delayed complication of radiation therapy that occurs when normal brain tissue dies due to radiation exposure. Radiation necrosis can cause cognitive impairment such as memory loss, confusion, or dementia by affecting the function of different areas of the brain and disrupting the cognitive processes.
Choice E reason:
This statement is false. Skin erythema at the radiation site is not a sign of radiation necrosis, but a common side effect of radiation therapy that occurs when skin cells are damaged by radiation exposure. Skin erythema at the radiation site is usually mild and self-limiting.
Correct Answer is B
Explanation
Choice A reason:
Meningeal cells are not the origin of gliomas, but of meningiomas, which are benign brain tumors that develop from the meninges, the membranes that cover the brain and spinal cord.
Choice B reason:
Neuroglial cells are the origin of gliomas, as explained above.
Choice C reason:
Pituitary cells are not the origin of gliomas, but of pituitary adenomas, which are benign brain tumors that grow from the pituitary gland and may cause endocrine dysfunction.
Choice D reason:
Acoustic nerve cells are not the origin of gliomas, but of acoustic neuromas, which are benign brain tumors that arise from the acoustic cranial nerve and may cause hearing loss or ringing in the ears.
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