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.)

"Metastatic brain tumors are lesions that spread from a primary cancer site outside of the brain."

"Metastatic brain tumors are more common than primary brain tumors."

"Metastatic brain tumors can be treated with surgery, radiation therapy, or chemotherapy."

"Metastatic brain tumors usually have a better prognosis than primary brain tumors."

"Metastatic brain tumors can cause increased intracranial pressure and neurological deficits."

Answer and Explanation

Correct Answer : A,B,C,E

Choice A reason:

This statement is true. Metastatic brain tumors are lesions that spread from a primary cancer site outside of the body, such as breast, kidney, lung, or gastrointestinal tract cancers.

Choice B reason:

This statement is true. Metastatic brain tumors are more common than primary brain tumors, accounting for about half of all brain tumors.

Choice C reason:

This statement is true. Metastatic brain tumors can be treated with surgery, radiation therapy, or chemotherapy, depending on the location, size, number, and type of tumor.

Choice D reason:

This statement is false. Metastatic brain tumors usually have a worse prognosis than primary brain tumors, because they indicate a systemic disease and often recur after treatment.

Choice E reason:

This statement is true. Metastatic brain tumors can cause increased intracranial pressure and neurological deficits by applying pressure to surrounding brain tissue and impairing cerebral blood flow and cerebrospinal fluid drainage.

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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.

A. New onset of seizures B. Increased intracranial pressure C. Hair loss at the radiation site D. Cognitive impairment E. Skin erythema at the radiation site

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.

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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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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 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

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