What are some of the nursing interventions for the patient with nervous system metastases or primary brain tumor?
Referral to counselor, social worker, home health care, support groups
Presence of family, friends, spiritual advisor, and health care personnel may be supportive
Encourage independence for as long as possible
All of the above
The Correct Answer is D
Choice A: Referral to counselor, social worker, home health care, support groups is correct because it can help the patient cope with the emotional, social, and practical aspects of living with a brain tumor. It can also provide information, resources, and assistance to the patient and their caregivers.
Choice B: Presence of family, friends, spiritual advisor, and health care personnel may be supportive is correct because it can provide comfort, companionship, and guidance to the patient. It can also help the patient express their feelings, needs, and preferences.
Choice C: Encourage independence for as long as possible is correct because it can enhance the patient's self-esteem, dignity, and quality of life. It can also help the patient maintain their physical and mental abilities and prevent complications such as depression, anxiety, or immobility.
Choice D: All of the above are correct because they are part of the holistic nursing care for the patient with nervous system metastases or primary brain tumor. They can address the physical, psychological, social, and spiritual needs of the patient and their family.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A: High blood pressure is not a side effect of IV Thrombolytic therapy TPA, but rather a contraindication or a reason not to use it. TPA can increase the risk of bleeding in patients with high blood pressure.
Choice B: Bleeding is the main side effect of IV Thrombolytic therapy TPA, as it dissolves blood clots and can cause bleeding in the brain or other parts of the body.
Choice C: Confusion is not a side effect of IV Thrombolytic therapy TPA, but rather a symptom of stroke. TPA can improve confusion by restoring blood flow to the brain.
Choice D: All of the above is not correct, as only bleeding is a side effect of IV Thrombolytic therapy TPA.
Correct Answer is A
Explanation
Choice A: Object penetrates the brain or trauma is so severe that the scalp and skull are opened is correct because it is the definition of an open traumatic brain injury. An open traumatic brain injury occurs when a foreign object such as a bullet, knife, or bone fragment enters the brain or when a blunt force trauma such as a fall, collision, or assault causes a fracture or laceration of the skull. This can damage the brain tissue, blood vessels, and nerves and cause bleeding, swelling, or infection.
Choice B: Stress is incorrect because it is not a type of traumatic brain injury. Stress is a psychological or emotional response to a challenging or threatening situation. It can affect the brain function and health, but it does not cause physical damage to the brain tissue.
Choice C: Acceleration/deceleration injury occurs when the head accelerates and then rapidly decelerates, damaging brain tissue is incorrect because it is not an open traumatic brain injury. It is a type of closed traumatic brain injury, which occurs when the head moves violently without breaking the skull. This can cause the brain to hit against the inner wall of the skull or twist within the skull, resulting in bruising, tearing, or shearing of the brain tissue.
Choice D: All of the above are incorrect because only choice a) describes an open traumatic brain injury. Choices b) and c) are not related to an open traumatic brain injury and do not match its characteristics. The nurse should know the different types and causes of traumatic brain injury and their implications for assessment and care.
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