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 patient has been admitted to the neurologic ICU with a diagnosis of a brain tumor. The patient is scheduled to have a tumor resection/removal in the morning. Which of the following assessment parameters should the nurse include in the initial assessment?
Correct Answer: A
Rationale: Assessing gag reflex is critical preoperatively to prevent aspiration during surgery. Other assessments are less relevant to immediate surgical risks.
Question 2 of 5
A patient with a brain tumor has begun to exhibit signs of cachexia. What subsequent assessment should the nurse prioritize?
Correct Answer: C
Rationale: Cachexia involves weight loss and muscle atrophy, necessitating nutritional assessment to address deficits. Other assessments are less directly related.
Question 3 of 5
A patient with an inoperable brain tumor has been told that he has a short life expectancy. On what aspects of assessment and care should the home health nurse focus? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Home care for inoperable brain tumors focuses on pain control, complication management, self-care assistance, and treatment administration. Diagnostic test interpretation is not a nursing role.
Question 4 of 5
An older adult has encouraged her husband to visit their primary care provider, stating that she is concerned that he may have Parkinsons disease. Which of the wifes descriptions of her husbands health and function is most suggestive of Parkinsons disease?
Correct Answer: A
Rationale: Bradykinesia is a hallmark of Parkinson's disease. Joint stiffness, memory loss, or weight loss with increased appetite are not typical symptoms.
Question 5 of 5
A patient, brought to the clinic by his wife and son, is diagnosed with Huntington disease. When providing anticipatory guidance, the nurse should address the future possibility of what effect of Huntington disease?
Correct Answer: C
Rationale: Huntington's disease causes significant emotional and personality changes due to neurologic degeneration. It is not malignant, nor does it increase stroke or fracture risk.