A patient with a brain tumor is admitted to a medical-surgical unit to begin radiation. Which nursing action should take priority?

Place the patient in isolation

Assess the patient's pain level

Pad the patient's bed rails

Teach the patient what to expect with radiation treatments

Answer and Explanation

The Correct Answer is D

A. Isolation is not typically required for a patient receiving radiation unless there is a specific infection concern. Radiation does not require isolation.

B. While assessing pain is important, the priority at this point is to ensure that the patient understands the treatment process and what to expect, which can help reduce anxiety and improve cooperation during treatment.

C. Padding the bed rails is typically done for patients at risk of seizures or injury. While this might be relevant for some patients with brain tumors, the immediate priority is to educate the patient about the treatment.

D. Teaching the patient what to expect with radiation treatments is the priority. This helps reduce anxiety, ensures informed consent, and prepares the patient for the treatment process. Education about side effects, the procedure, and the expected outcomes is crucial for managing the patient’s experience.

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Correct Answer is B

Explanation

A. Sleeping more during the day than nighttime is not a typical manifestation of primary dementia. While changes in sleep patterns can occur in individuals with dementia, the hallmark features are related to cognitive decline and memory loss, not excessive daytime sleep.

B. Forgetfulness gradually progressing to disorientation is a classic manifestation of primary dementia, particularly Alzheimer's disease. This condition is characterized by progressive memory loss, confusion, and eventually, disorientation.

C. Temporary, reversible loss of brain function is not characteristic of primary dementia. Dementia is typically a progressive and irreversible decline in cognitive function, with symptoms worsening over time.

D. Hypervigilant behaviors are not typically associated with primary dementia. Instead, individuals with dementia may experience confusion, apathy, or withdrawal, but hypervigilance is more commonly associated with conditions such as anxiety or paranoia.

A. Limit the client's physical activity. B. Provide the client a cane. C. Offer the client 3 large meals a day. D. Speak loudly to the client.

Correct Answer is B

Explanation

A. Limiting the client's physical activity is not recommended for clients with Parkinson's disease. Physical activity, including exercises to improve strength, balance, and flexibility, is essential to manage symptoms and maintain mobility.

B. Providing the client a cane is appropriate. A cane can help with balance and stability, especially as the client experiences motor symptoms such as rigidity and bradykinesia. It can reduce the risk of falls.

C. Offering the client 3 large meals a day is not ideal. Smaller, more frequent meals are recommended for clients with Parkinson's disease, as they may experience difficulty swallowing, digestion issues, or a reduced appetite.

D. Speaking loudly to the client is not necessary unless the client has difficulty hearing. It is more important to speak clearly and at a normal volume, as clients with Parkinson's disease may have issues with speech (e.g., soft or slurred speech).

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A patient with a brain tumor is admitted to a medical-surgical unit to begin radiation. Which nursing action should take priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with the family of a client who has primary dementia. Which of the following manifestations of dementia should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is reinforcing teaching to the family of a client who has Parkinson's disease. Which of the following instructions should the nurse include?

Correct Answer is B

Explanation

What infection control precaution is a client diagnosed with bacterial meningitis instituted?

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