NUR 401 Test 2 Exam Questions with 100% Correct Answers

Which surgical techniques and procedures are used to localize brain tumours intraoperatively? (SATA) a. Electroencephalogram (EEG) b. X-ray c. Ultrasound d. Functional magnetic resonance imaging (MRI) e. Cortical mapping f. Computer-guided stereotactic biopsy Correct Answer c, d, e, f EEG is to rule out seizure disorders, X-ray is used to view changes in the skull but may not show soft tissue damages A Client with a head injury presents with loss of corneal reflex. What action should the nurse take to prevent abrasion? a. Use of antibiotic eye drops b. Use an eye patch c. Tape the eyes shut d. Apply warm compresses Correct Answer C. A client is diagnosed with a brainstem tumour. When assessing the client, which symptoms would the nurse expect to find? a. Crossed eyes b. Diabetes insipidus c. Tinnitus and vertigo d. Facial muscle weakness e. Headache on awakening Correct Answer a., d., and e Rationale: Diabetes insipidus (thalamus and sellar tumours) and tinnitus, deafness and vertigo (cerebellopontine tumours) A client with increased ICP from a brain tumour is being monitored with a ventriculostomy. What is the priority nursing intervention? a. Administer IV mannitol (Osmitrol) b. Use a ventilator to hyperoxygenate the client c. Use strict aseptic techniques for wound dressing changes d. Be aware of changes in ICP related to leaking CSF Correct Answer c. Rationale: prevent serious complication of infection is the top priority What is the triad of symptoms the nurse would expect to find during assessment of the client with Parkinson's disease? a. Spasticity, diplopia, tremor b. Tremor, rigidity, bradykinesia c. Ataxia, drowsiness, dysarthria d. Diplopia, tremor, bradykinesia Correct Answer b. What is a major goal of treatment for the client with a chronic, progressive neurological disease?