A client is suspected of having a brain tumor. Which diagnostic ...

[segrsyd]

A client is suspected of having a brain tumor. Which diagnostic test should the nurse expect to be prescribed for this client?
 
  1. Clotting studies
  2. A CT scan
  3. An EEG
  4. Doppler ultrasound of the carotid arteries

Question 2

A client who experienced a severe head injury is demonstrating a lack of response to painful stimuli, pupils are unequal and fixed, and decorticate posturing. The nurse takes immediate steps, as the client is experiencing:
 
  1. disorientation.
  2. early increased intracranial pressure (IICP).
  3. a subdural hematoma.
  4. signs of late IICP.

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Answer to Question 1

Answer: 2

1. The physician might order a CBC and serum electrolytes.
2. A CT scan is done to discover the presence of a tumor.
3. An EEG is done to detect seizures.
4. A Doppler ultrasound of the carotid views the flow of blood to the brain.

Answer to Question 2

Answer: 4

1. Disorientation implies that the client is conscious, which this client is not.
2. Early IICP is characterized by irritability, blurred vision, increased heart rate, and headache.
3. A subdural hematoma has the manifestations of headache, drowsiness, slowed thinking, and confusion, with possible ipsilateral pupil dilation.
4. The client is in late IICP, which is a medical emergency.

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