A client comes to the clinic with complaints of severe headache, personality changes, ringing in the ears, and numbness and tingling of the extremities. Which objective data should the nurse collect?
1. Edema in the legs
2. Strength of hand grip bilaterally
3. Peripheral vision
4. Hearing
Answer: 2
1. The client exhibits signs of neurological impairment from a possible tumor. Edema in the legs would not be an expected assessment of a brain tumor.
2. Checking hand strength is an important objective assessment when neurologic alterations are suspected.
3. Peripheral vision is not a test the nurse does. The nurse would assess for blurred vision.
4. Hearing is not likely to be impacted by a tumor, but balance gait changes would be.
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