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
The nurse responds to the call light of a patient who has had a cervical diskectomy earlier in the day. The patient states that she is having severe pain that had a sudden onset. What is the nurses most appropriate action?
Correct Answer: C
Rationale: Sudden severe pain post-diskectomy may indicate graft extrusion, requiring immediate surgical notification. Palpation, dressing removal, or NSAIDs could delay critical intervention.
Question 2 of 5
A nurse is planning discharge education for a patient who underwent a cervical diskectomy. What strategies would the nurse assess that would aid in planning discharge teaching?
Correct Answer: A
Rationale: Cervical collar care is essential for post-diskectomy recovery to maintain alignment. ROM exercises, ABG assessment, and nerve restoration are not appropriate.
Question 3 of 5
A nurse is assessing a patient with an acoustic neuroma who has been recently admitted to an oncology unit. What symptoms is the nurse likely to find during the initial assessment?
Correct Answer: A
Rationale: Acoustic neuroma, a tumor of the eighth cranial nerve, affects hearing and balance, causing hearing loss, tinnitus, and vertigo. Vision loss, sodium retention, or tachycardia are not typical symptoms.
Question 4 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 5 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.