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A nurse is administering chemotherapy to a client who has a malignant brain tumor. The nurse should monitor the client for which of the following adverse effects of chemotherapy?

Bone marrow suppression

Cerebral edema

Increased intracranial pressure

Seizures

Answer and Explanation

The Correct Answer is A

Choice A reason:

This statement is true, as explained above.

Choice B reason:

This statement is not an adverse effect of chemotherapy, but of the brain tumor itself. Brain tumors can cause cerebral edema by applying pressure to surrounding brain tissue and impairing cerebral blood flow and cerebrospinal fluid drainage.

Choice C reason:

This statement is not an adverse effect of chemotherapy, but of the brain tumor itself. Brain tumors can cause increased intracranial pressure by applying pressure to surrounding brain tissue and impairing cerebral blood flow and cerebrospinal fluid drainage.

Choice D reason:

This statement is not an adverse effect of chemotherapy, but of the brain tumor itself. Brain tumors can cause seizures by affecting the function of different areas of the brain and disrupting the electrical activity of neurons.

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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.

A. "The surgery may cause bleeding, infection, or damage to the surrounding brain tissue." B. "The surgery may cause seizures, memory loss, or changes in your personality." C. "The surgery may cause nausea, vomiting, or difficulty swallowing." D. "The surgery may cause hearing loss, vision loss, or facial paralysis."

Correct Answer is A

Explanation

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.

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A nurse is administering chemotherapy to a client who has a malignant brain tumor. The nurse should monitor the client for which of the following adverse effects of chemotherapy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is evaluating a client who has a brain tumor and received radiation therapy. Which of the following findings should the nurse report to the provider as a sign of radiation necrosis? (Select all that apply.)

Correct Answer is ["A","B","D"]

Explanation

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?

Correct Answer is A

Explanation

A nurse is caring for a client who has a primary malignant brain tumor and reports a new onset of blurred vision and difficulty reading. The nurse should recognize that these findings indicate which of the following types of tumors?

A nurse is reviewing a client's magnetic resonance imaging (MRI) report that shows an infratentorial tumor in the cerebellum. The nurse should expect to find which of the following manifestations in the client? (Select all that apply.)

A nurse is caring for a client who has a glioma. The nurse knows that this type of brain tumor originates from which of the following cells?

A nurse is administering chemotherapy to a client who has a malignant brain tumor. The nurse should monitor the client for which of the following adverse effects of chemotherapy?

A nurse is teaching a client who has a newly diagnosed metastatic brain tumor. Which of the following statements should the nurse include in the teaching? (Select all that apply.)

A nurse is assessing a client who has a meningioma. The nurse should expect to find which of the following manifestations?