The school-age child is admitted to the pediatric neurologic unit with a suspected craniopharyngioma. Which assessment data collected by the nurse supports the suspected diagnosis? Select all that apply
1. Evening nausea
2. Excessive urination
3. Nystagmus
4. Headaches
5. Orbital ecchymosis
2, 3, 4
Explanation:
1. Nausea is a common symptom of a brain tumor due to effect on the vomiting center of the brain. However, it occurs primarily in the morning on arising.
2. Diabetes insipidus is common in tumors involving the pituitary gland, such as craniopharyngioma.
3. Nystagmus is a symptom of pressure on the optic nerve chiasm.
4. The headaches may be due to the increased bulk in the cranium and/or the ventricular blockage leading to hydrocephalus.
5. Orbital ecchymosis is seen in neuroblastoma secondary to metastasis to the bone.
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