CORRECT ANSWERS WITH COMPLETE
SOLUTION
When a patient experiences disturbances and an inability to write, which part of
the patient's cerebral hemisphere would the nurse associate with the patient's
brain tumor?
a. frontal lobe
b. parietal lobe
c. occipital lobe
d. temporal lobe - ANSWER - b. parietal lobe
For the patient presenting with watery sanguineous nasal drainage after falling
from a first floor roof, which diagnostic test method validates the nurse's
suspicion of a CSF leak?
a. gram stain
b. the halo test
c. a dextrostix
d. slide smear for presence of leukocytes - ANSWER - b. Halo test
*By allowing the drainage to drip onto a white gauze pad or towel, observe the
drainage. Within a few minutes, the blood coalesces into the center, and a
yellowish ring encircles the blood if CSF is present.
*If blood is present, the Dextrostix will not be accurate because glucose is present
in the blood
, Which is an example of blunt trauma that can result in spinal cord injury?
a. stab wound
b. diving accident
c. gunshot wound
d. torn spinal cord - ANSWER - b. diving accident
*others are penetrating traumas
For which treatment modality would the nurse prepare a patient whose MRI
revealed the presence of a brain tumor?
a. surgery
b. chemotherapy
c. radiation
d. biologic drug therapy - ANSWER - a. Surgery
*chemo has a difficult time crossing the blood brain barrier
Which level of spinal cord injury is associated with a risk for failure of the
diaphragm?
a. C3-C5
b. T1-T5
c. T6-T12
d. L1-L2 - ANSWER - a. C3-C5
*Patient's with high cervical injury have respiratory insufficiency due to loss of
phrenic nerve innervation to the diaphragm and decreases in chest and
abdominal wall strength