The 10-year-old boy is admitted to the pediatric neurologic unit with a suspected craniopharyngioma. The nurse will assess the child with which symptoms related to this brain tumor? Standard Text: Select all that apply
1. Evening nausea
2. Excessive urination leading to dehydration
3. Nystagmus
4. Headaches
5. Orbital ecchymosis
2,3,4
Rationale 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.
Rationale 2: Diabetes insipidus is common in tumors involving the pituitary gland, such as craniopharyngioma.
Rationale 3: Nystagmus is a symptom of pressure on the optic nerve chiasm.
Rationale 4: The headaches may be due to the increased bulk in the cranium and/or the ventricular blockage leading to hydrocephalus.
Rationale 5: Orbital ecchymosis is seen in neuroblastoma secondary to metastasis to the bone.
Global
You might also like to view...
Public law is developed by persons appointed to government administrative agencies that must enforce the laws passed by the legislature. The Social Security Act is an example of which type of law?
a. administrative c. criminal b. constitutional d. statutory
A public health nurse uses collaboration, coalition building, and community organizing when
a. Providing case management, referral, and follow-up services with individuals b. Carrying out collective action at the systems or community levels of practice c. Conducting a community assessment d. Implementing primary and secondary prevention strategies
The nurse is preparing an in-service presentation about the role of culture in adolescent pregnancy. What should the nurse include in this presentation? Select all that apply
1. "Teens with future goals tend to use birth control more consistently." 2. "Most pregnant teens do not have any relatives who had their first child as teens." 3. "Young teens who have a child are more likely to have another while still a teen." 4. "Although the rate has dropped, non-Caucasian teens are more likely to become pregnant." 5. "Eighty-five percent of teen mothers are middle class, and give birth to gain adult status."
You are a registered nurse in the emergency department. It is a hot summer day and S.R., a 25-year-old
woman, comes to the Ed with severe left flank and abdominal pain and nausea and vomiting. S.R. looks very tired, her skin is warm to the touch, and she is perspiring. She paces about the room doubled over and is clutching her abdomen. S.R. tells you the pain started early this morning and has been pretty steady for the past 6 hours. She gives a history of working outside as a landscaper and takes little time for water breaks. Her past medical history includes three kidney stone attacks, all occurring during late summer. Examination findings are that her abdomen is soft and without tenderness, but her left flank is extremely tender to touch, palpation, and percussion. You place S.R. in one of the examination rooms and take the following vital signs: 188/98, 90, 20, 99° F (37.2° C). A voided urinalysis shows RBCs of 50 to 100 on voided specimen and WBCs of zero. What could be the cause of the blood in her urine? How could you rule out some of these causes?