ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 70 : Management of Patients With Oncologic or Degenerative Neurologic Disorders Questions
Question 1 of 5
A 25-year-old female patient with brain metastases is considering her life expectancy after her most recent meeting with her oncologist. Based on the fact that the patient is not receiving treatment for her brain metastases, what is the nurses most appropriate action?
Correct Answer: B
Rationale: Untreated brain metastases lead to a rapid decline, making palliative care the priority to manage symptoms and improve quality of life. Promoting function or withholding information is less appropriate.
Question 2 of 5
The nurse is writing a care plan for a patient with brain metastases. The nurse decides that an appropriate nursing diagnosis is anxiety related to lack of control over the health circumstances. In establishing this plan of care for the patient, the nurse should include what intervention?
Correct Answer: C
Rationale: Encouraging verbalization helps the patient gain control over anxiety by understanding the disease and treatment. Routine medications or distraction do not address the root cause, and family planning does not empower the patient.
Question 3 of 5
A patient with suspected Parkinsons disease is initially being assessed by the nurse. When is the best time to assess for the presence of a tremor?
Correct Answer: A
Rationale: Parkinson's resting tremor is most evident when extremities are motionless, disappearing with purposeful movement. Assessment during rest is optimal.
Question 4 of 5
The clinic nurse caring for a patient with Parkinsons disease notes that the patient has been taking levodopa and carbidopa (Sinemet) for 7 years. For what common side effect of Sinemet would the nurse assesses this patient?
Correct Answer: B
Rationale: Long-term levodopa use (5-10 years) commonly causes dyskinesia. Pruritus, lactose intolerance, and diarrhea are not typical side effects.
Question 5 of 5
The nurse is caring for a boy who has muscular dystrophy. When planning assistance with the patients ADLs, what goal should the nurse prioritize?
Correct Answer: B
Rationale: Muscular dystrophy is incurable, so maximizing function through ADLs is the priority. Family participation and adherence support this goal but are secondary.