A nurse is educating a client who has a central nervous system (CNS) tumor. Which of the following information should the nurse include in the teaching?
Malignant brain tumors often originate from another part of the body.
Primary CNS tumors commonly spread to other parts of the body.
Most CNS tumors are spinal tumors.
Ependymomas are primarily brain tumors.
The Correct Answer is D
A. Malignant brain tumors often originate from another part of the body: While malignant brain tumors can spread from other body parts (metastatic tumors), primary brain tumors, such as gliomas or meningiomas, originate in the brain itself. Malignant brain tumors that metastasize to the brain are relatively less common.
B. Primary CNS tumors commonly spread to other parts of the body: Primary central nervous system (CNS) tumors generally do not spread to other parts of the body. Most CNS tumors are localized, and their spread is usually restricted to the surrounding neural tissue, not to distant organs.
C. Most CNS tumors are spinal tumors: Most central nervous system (CNS) tumors are actually brain tumors, not spinal tumors. Brain tumors are more common in adults, while spinal tumors are rarer in comparison.
D. Ependymomas are primarily brain tumors: Ependymomas are a type of tumor that originates from the ependymal cells in the central nervous system. While they can occur in both the brain and spinal cord, they are more frequently found in the brain, especially in the ventricles. Thus, ependymomas are primarily considered brain tumors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Avoid foods that have been fried.": Fried foods are high in fat, which can increase stomach acid production and irritate the gastric mucosa, contributing to the development of peptic ulcers. Avoiding such foods can help reduce the risk of ulcer formation.
B. "Avoid consuming undercooked foods.": While undercooked foods can carry the risk of infection, particularly from bacteria like H. pylori, this statement is more relevant to food safety and does not directly address the risk of peptic ulcers.
C. "Avoid using decongestants for seasonal allergies/colds due to their positive link to developing a peptic ulcer.": Decongestants are not typically associated with an increased risk of peptic ulcers. The main culprits for ulcers are NSAIDs, alcohol, smoking, and H. pylori infection.
D. "Avoid using hormone replacement therapy as this can increase your risk for a peptic ulcer.": Hormone replacement therapy (HRT) is not a major factor in the development of peptic ulcers. The primary risk factors include NSAID use, smoking, and infection with H. pylori.
Correct Answer is C
Explanation
A. "Yes, antiviral treatment will ensure that you are less contagious and do not spread influenza to others": While antiviral treatment can reduce the spread of influenza, it is not the primary reason for early initiation. The key reason for starting antiviral therapy early is to reduce the severity and duration of symptoms.
B. "No, you should wait for lab confirmation because taking antivirals for a nonviral infection can increase side effects": This is incorrect because antivirals for influenza are specific to the virus and are not used in non-viral infections. Delaying treatment could worsen symptoms.
C. "Yes, antiviral treatments are most effective when they are started within 48 hours of symptom onset": This is the most accurate statement. Antiviral drugs like oseltamivir (Tamiflu) are most effective when taken early, within the first 48 hours of symptom onset, to reduce symptom severity and duration.
D. "No, you should wait for lab confirmation before beginning antiviral treatment, to prevent resistant viruses": Early treatment is essential, and delaying therapy can lead to worsened symptoms or complications. Resistance is a concern, but it is not an immediate issue with influenza antivirals.
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