The client has been diagnosed with a frontal lobe brain tumor and has undergone a craniotomy. What position should the nurse place the client post-operatively?

Prone (supported) position

Dorsal recumbent position

Lateral recumbent

Semi-Fowler's position

Answer and Explanation

The Correct Answer is D

A. The prone position is not suitable post-craniotomy as it can increase intracranial pressure and may compromise respiratory function.
B. The dorsal recumbent position is not ideal for patients post-craniotomy, as it can hinder optimal intracranial pressure management.
C. The lateral recumbent position is generally avoided immediately after craniotomy to prevent pressure on the surgical site and ensure proper cerebral perfusion.
D. The Semi-Fowler's position helps reduce intracranial pressure, promotes venous drainage, and is generally recommended for post-operative care following a craniotomy.

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Correct Answer is B

Explanation

A. Measuring abdominal girth may be relevant for assessing potential complications like abdominal distention, but it is not the immediate priority in response to serosanguinous drainage from the nasogastric tube.
B. Continuing to monitor the drainage is appropriate, as serosanguinous fluid is common immediately after surgery and may gradually change as healing progresses. Monitoring allows for the identification of any changes that may require further intervention.
C. Notifying the physician may be necessary if the drainage increases or changes significantly, but immediate action is to observe and assess the drainage trend.
D. Irrigating the nasogastric tube is not warranted unless there is an obstruction or significant change in the drainage; it should only be done based on specific orders or protocols.

A. use sunscreen while playing sports. B. examine my body every month for suspicious lesions. C. decrease use of a tanning bed to twice a month. D. wear a hat and sunglasses when in the sun.

Correct Answer is C

Explanation

A. Using sunscreen while playing sports is an important measure to protect the skin from harmful UV radiation, which contributes to skin cancer; therefore, this statement indicates proper understanding.
B. Monthly self-examinations for suspicious lesions are recommended as part of early detection strategies for skin cancer, demonstrating a proactive approach to skin health.
C. Decreasing the use of a tanning bed to twice a month still poses a significant risk for skin damage and cancer, as tanning beds expose the skin to high levels of UV radiation. This statement indicates a lack of understanding of the dangers associated with artificial tanning.
D. Wearing a hat and sunglasses while in the sun is an effective strategy for minimizing sun exposure to sensitive areas, protecting the skin and eyes from UV rays, indicating proper sun safety practices.

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The client has been diagnosed with a frontal lobe brain tumor and has undergone a craniotomy. What position should the nurse place the client post-operatively?

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The client has been diagnosed with a frontal lobe brain tumor and has undergone a craniotomy. What position should the nurse place the client post-operatively?