Which early symptoms in a focused assessment by the nurse may indicate the presence of a brain tumor?
Sudden unconsciousness, unresponsiveness, and apnea.
Increased temperature, blood pressure, heart rate, and respirations.
Changes in vision and personality, and headache upon awakening.
Fever, increased white blood cell count, and decreased appetite.
The Correct Answer is C
Choice A reason: Sudden unconsciousness, unresponsiveness, and apnea are not typical symptoms of a brain tumor. They are more likely to indicate a stroke, seizure, or cardiac arrest.
Choice B reason: Increased temperature, blood pressure, heart rate, and respirations are not specific symptoms of a brain tumor. They are more likely to indicate an infection, inflammation, or stress.
Choice C reason: Changes in vision and personality, and headache upon awakening are common symptoms of a brain tumor. They are caused by the pressure of the tumor on the brain tissue and the cranial nerves.
Choice D reason: Fever, increased white blood cell count, and decreased appetite are not typical symptoms of a brain tumor. They are more likely to indicate a systemic infection or malignancy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: This is incorrect. Polyphasia and nystagmus are not signs of neurological deterioration, but rather of speech and eye disorders. Polyphasia is the excessive use of words or speech, and nystagmus is the involuntary movement of the eyes.
Choice B reason: This is incorrect. Increased respiratory rate and depth are not signs of neurological deterioration, but rather of respiratory distress or hyperventilation. They may indicate a problem with the lungs or the blood gases, not the brain.
Choice C reason: This is correct. Decreased level of consciousness and difficulty arousing upon stimulation are signs of neurological deterioration, as they indicate a decrease in the brain's ability to function and respond to stimuli. They may be caused by increased intracranial pressure, bleeding, swelling, or infection in the brain.
Choice D reason: This is incorrect. Decreased pulse pressure and pupils slowly reactive and round to light are not signs of neurological deterioration, but rather of cardiovascular or autonomic dysfunction. They may indicate a problem with the heart or the blood pressure, not the brain.
Correct Answer is A
Explanation
Choice A reason: Maintaining a flat lying position for 14 hours following the procedure is the highest priority teaching point for the patient who had a lumbar puncture. It helps to prevent cerebrospinal fluid leakage and post-lumbar puncture headache, which can be severe and debilitating.
Choice B reason: Muscular discomfort is expected after being in a curled position for a period of time, but it is not the highest priority teaching point for the patient who had a lumbar puncture. It is a common and mild side effect that can be relieved by analgesics, massage, or heat therapy.
Choice C reason: Resuming oral intake immediately after the procedure is not a priority teaching point for the patient who had a lumbar puncture. It is not contraindicated, but it is not essential either. The patient should drink plenty of fluids to replenish the cerebrospinal fluid and prevent dehydration.
Choice D reason: Mild pain is expected at the needle insertion site, but it is not the highest priority teaching point for the patient who had a lumbar puncture. It is a common and mild side effect that can be relieved by analgesics, ice packs, or dressing.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today