A patient with a brain tumor is admitted to a medical-surgical unit to begin radiation. Which nursing action should take priority?
Place the patient in isolation
Assess the patient's pain level
Pad the patient's bed rails
Teach the patient what to expect with radiation treatments
The Correct Answer is D
A. Isolation is not typically required for a patient receiving radiation unless there is a specific infection concern. Radiation does not require isolation.
B. While assessing pain is important, the priority at this point is to ensure that the patient understands the treatment process and what to expect, which can help reduce anxiety and improve cooperation during treatment.
C. Padding the bed rails is typically done for patients at risk of seizures or injury. While this might be relevant for some patients with brain tumors, the immediate priority is to educate the patient about the treatment.
D. Teaching the patient what to expect with radiation treatments is the priority. This helps reduce anxiety, ensures informed consent, and prepares the patient for the treatment process. Education about side effects, the procedure, and the expected outcomes is crucial for managing the patient’s experience.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While chemotherapy does have side effects, this is not the primary reason for its limited use in treating brain tumors. Side effects are a consideration but not the main obstacle.
B. The blood-brain barrier is a selective permeability barrier that limits the ability of many chemotherapy drugs to pass from the bloodstream into the brain tissue. This makes it difficult for chemotherapy to effectively treat brain tumors.
C. Brain tumors can metastasize and spread to other parts of the body, so chemotherapy may still be needed, especially in cases of malignant tumors.
D. Chemotherapy is commonly used to treat cancer, including brain tumors, but the blood-brain barrier poses a significant challenge in its effectiveness.
Correct Answer is A
Explanation
A. The sympathetic nervous system is responsible for the "fight or flight" response. This response includes tachycardia (increased heart rate) and dilated pupils (mydriasis), both of which are common physiological changes during sympathetic activation.
B. Pupil constriction and bronchoconstriction are associated with the parasympathetic nervous system, which is responsible for the "rest and digest" functions.
C. Increased peristalsis and abdominal cramping are also associated with the parasympathetic nervous system, as it promotes digestion and relaxation of the body.
D. Hypoglycemia and headache are not direct indicators of sympathetic activation. Hypoglycemia can occur for various reasons, and headaches can be caused by multiple factors, but they are not specific signs of sympathetic nervous system activation.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.