The nurse is caring for a client who will undergo a cerebral biopsy for a brain tumor. The client's pre-operative teaching should include:

to continue the antiepileptic drug to prevent seizure activity

morphine will be administered post-op for adequate pain control

to continue taking the daily Aspirin until the day of surgery

to continue the use of alternative or complementary therapies with family approval

Answer and Explanation

The Correct Answer is A

A. Continuing antiepileptic drugs is crucial in patients with brain tumors, as these medications help prevent seizure activity, which is a common complication associated with brain tumors and surgical procedures.
B. While pain control is important, the specific medications used for postoperative pain management are determined after surgery; patients should be informed about general pain management strategies rather than specific drug administration.
C. Aspirin, an anticoagulant, should typically be stopped before surgery to reduce the risk of bleeding complications; therefore, patients should not continue taking it unless specifically directed by their healthcare provider.
D. Patients are usually advised to discontinue alternative or complementary therapies before surgery due to potential interactions with anesthesia or surgical procedures, and it should be clarified with the healthcare provider before proceeding.

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Correct Answer is B

Explanation

A. 1500: This is incorrect
B. The calculation is as follows:
Remaining fluid: 600 mL
IV rate: 100 mL/hour
Time to empty the bag: 600 mL ÷ 100 mL/hour = 6 hours
Adding 6 hours to the report time:
0700 + 0600 = 1300
The correct answer is 1300.
C. 1400: This is incorrect
D. 1500: This is incorrect

A. Prone (supported) position B. Dorsal recumbent position C. Lateral recumbent D. Semi-Fowler's position

Correct Answer is D

Explanation

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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The nurse is caring for a client who will undergo a cerebral biopsy for a brain tumor. The client's pre-operative teaching should include:

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Naxlex Comprehensive Predictor Exams

The nurse receives report at 0700 on a client who has 600 mL of IV fluid left in the bag. The IV is running at 100 mL per hour. At what time should the nurse expect to change the bag (military time)?

Correct Answer is B

Explanation

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?

Correct Answer is D

Explanation

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