Brunner & Suddarth's Textbook of Medical-Surgical Nursing 13e Edition
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 13e Edition
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Chapter 70 Brunner & Suddarth’s Textbook of Medical-Surgical Nursing 13e Edition
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | 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? | |
| A) | Loss of hearing, tinnitus, and vertigo | |
| B) | Loss of vision, change in mental status, and hyperthermia | |
| C) | Loss of hearing, increased sodium retention, and hypertension | |
| D) | Loss of vision, headache, and tachycardia | |
| Ans: | A | |
| Feedback: | ||
| An acoustic neuroma is a tumor of the eighth cranial nerve, the cranial nerve most responsible for hearing and balance. The patient with an acoustic neuroma usually experiences loss of hearing, tinnitus, and episodes of vertigo and staggering gait. Acoustic neuromas do not cause loss of vision, increased sodium retention, or tachycardia. | ||
| 2. | 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 nurse’s most appropriate action? | |
| A) | Promoting the patient’s functional status and ADLs | |
| B) | Ensuring that the patient receives adequate palliative care | |
| C) | Ensuring that the family does not tell the patient that her condition is terminal | |
| D) | Promoting adherence to the prescribed medication regimen | |
| Ans: | B | |
| Feedback: | ||
| Patients with intracerebral metastases who are not treated have a steady downhill course with a limited survival time, whereas those who are treated may survive for slightly longer periods, but for most cure is not possible. Palliative care is thus necessary. This is a priority over promotion of function and the family should not normally withhold information from the patient. Adherence to medications such as analgesics is important, but palliative care is a high priority. | ||
| 3. | 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? | |
| A) | The patient will receive antianxiety medications every 4 hours. | |
| B) | The patient’s family will be instructed on planning the patient’s care. | |
| C) | The patient will be encouraged to verbalize concerns related to the disease and its treatment. | |
| D) | The patient will begin intensive therapy with the goal of distraction. | |
| Ans: | C | |
| Feedback: | ||
| Patients need the opportunity to exercise some control over their situation. A sense of mastery can be gained as they learn to understand the disease and its treatment and how to deal with their feelings. Distraction and administering medications will not allow the patient to gain control over anxiety. Delegating planning to the family will not help the patient gain a sense of control and autonomy. | ||
| 4. | A patient with suspected Parkinson’s disease is initially being assessed by the nurse. When is the best time to assess for the presence of a tremor? | |
| A) | When the patient is resting | |
| B) | When the patient is ambulating | |
| C) | When the patient is preparing his or her meal tray to eat | |
| D) | When the patient is participating in occupational therapy | |
| Ans: | A | |
| Feedback: | ||
| The tremor is present while the patient is at rest; it increases when the patient is walking, concentrating, or feeling anxious. Resting tremor characteristically disappears with purposeful movement, but is evident when the extremities are motionless. Consequently, the nurse should assess for the presence of a tremor when the patient is not performing deliberate actions. | ||
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