The nurse is assessing a client who was recently diagnosed with a meningioma. Which statement indicates that the client correctly understands the diagnosis?
a. "This is the worst type of brain tumor, and surgery is not an option."
b. "My tumor can be removed, but I can still have damage because of pressure in my brain."
c. "Even after the surgery, I will need che-motherapy to decrease the spread of the tumor."
d. "Radiation is never used on brain tumors because of possible nerve damage."
B
Meningiomas arise from the coverings of the brain (the meninges) and are the most common type of benign tumor. This tumor is encapsulated, globular, and well demarcated, and causes compression and displacement of nearby brain tissue. Although complete removal of the tumor is possible, it tends to recur and causes irreversible damage to the brain. The tumor is not treated by chemotherapy or radiation.
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A client with hyperaldosteronism is being treated with spironolactone (Aldactone) before surgery. Which precautions does the nurse teach this client?
a. "Read the label before using salt substi-tutes." b. "Do not add salt to your food when you eat." c. "Avoid exposure to sunlight." d. "Take Tylenol instead of aspirin for pain."
The nurse assesses a client's chest tube and finds continuous bubbling in the water seal chamber. When the nurse clamps the chest tube close to the client's dressing, the bubbling stops. How does the nurse interpret this finding?
a. An air leak is present at the chest tube in-sertion site or in the thoracic cavity. b. An air leak is present in the drainage sys-tem. c. More water needs to be added to the water seal. d. The system is functioning appropriately and no intervention is needed.
A nurse is explaining the use of acyclovir therapy to a 72-year-old man. Nephrotoxicity is discussed as a major adverse effect in older patients. To minimize the risk of the patient developing this adverse effect, the nurse will advise him to
A) take the tablets on an empty stomach. B) decrease the drug dosage if initial symptoms of nephrotoxicity appear. C) stay well hydrated by drinking at least eight 8-oz glasses of water daily. D) eat light meals every day.