A patient, diagnosed with cancer of the lung, has just been told he has metastases to the brain. The family should be aware that the neurologic signs and symptoms of metastatic brain disease are what?
A) Bradycardia
B) Temperature greater than 100.5°F
C) Increase in diastolic blood pressure
D) Personality changes
Ans: D
Feedback: Neurologic signs and symptoms include headache, gait disturbances, visual impairment, personality changes, altered mentation (memory loss and confusion), focal weakness, paralysis, aphasia, and seizures. These problems can be devastating to both patient and family. Bradycardia, elevated temperature, and an increase in diastolic blood pressure are not neurologic signs and symptoms of metastatic brain disease.
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