A client has had a surgical resection of an acoustic neuroma. The nurse's postoperative assessment should focus on:
1. Identifying damage to cranial nerves VII, IX, X, and XII.
2. Utilization of the House/Brackmann assessment scale.
3. Documenting complaints of tinnitus and dizziness.
4. Determining the degree of hearing loss.
Identifying damage to cranial nerves VII, IX, X, and XII.
Rationale: Surgical resection of acoustic neuromas can cause damage to cranial nerves in proximity to the tumor. Damage to cranial nerves VII, IX, X, and XII is possible. Therefore, a thorough cranial nerve assessment is important, both preoperatively and postoperatively. If the facial nerve is damaged, it is important to note the degree of facial weakness exhibited using the House/Brackmann scale. Acoustic neuromas usually are diagnosed when the patient experiences gradual hearing loss, tinnitus, and/or dizziness.
You might also like to view...
Phenytoin is an anticonvulsant medication with some antiarrhythmia properties. Mr. Cubber is already receiving phenytoin to control seizure activity. He recently started on isoniazid for tuberculosis, aspirin for arthritis, and Tagamet for ulcers
Next month, you may find a. Abnormal increase in serum phenytoin levels b. Decrease in phenytoin serum levels c. No change in levels d. Increased folic acid
When educating a client who has human immunodeficiency virus (HIV), the nurse should include the information that it is possible to remain asymptomatic for:
a. up to 2 years c. up to 10 years b. up to 5 years d. 10 or more years
What function does insulin serve in the human body?
a. It aids in the diffusion of glucose into the liver and muscle cells and in the synthesis of glycogen. b. It breaks down glucose so it can be used by the body. c. It converts triglycerides into glucose for use by the body. d. It converts proteins into energy for use by the body.
Which of the following is not an option used to increase the flexibility of scheduling and to enhance the work-life balance for nurses?
a. assigning different shift lengths b. permanent staffing for weekends c. having a schedule that is variable, depending on the time of year d. finding a scheduling pattern that is consistent throughout the year