The most common clinical manifestation(s) of brain tumors in ...

[sheilaspns]

The most common clinical manifestation(s) of brain tumors in children is/are:
 
  a. irritability.
  b. seizures.
  c. headaches and vomiting.
  d. fever and poor fine motor control.

Question 2

A 5-year-old boy is being prepared for surgery to remove a brain tumor. Nursing actions should be based on which statement?
 
  a. Removal of tumor will stop the various symptoms.
  b. Usually the postoperative dressing covers the entire scalp.
  c. He is not old enough to be concerned about his head being shaved.
  d. He is not old enough to understand the significance of the brain.

[javimendoza7]

Answer to Question 1

ANS: C
Headaches, especially on awakening, and vomiting that is not related to feeding are the most common clinical manifestation(s) of brain tumors in children. Irritability, seizures, and fever and poor fine motor control are clinical manifestations of brain tumors, but headaches and vomiting are the most common.

Answer to Question 2

ANS: B
The child should be told what he will look and feel like after surgery. This includes the size of the dressing. The nurse can demonstrate on a doll the expected size and shape of the dressing. Some of the symptoms may be alleviated by the removal of the tumor, but postsurgical headaches and cerebellar symptoms such as ataxia may be aggravated. Children should be prepared for the loss of their hair, and it should be removed in a sensitive, positive manner if the child is awake. Children at this age have poorly defined body boundaries and little knowledge of internal organs. Intrusive experiences are frightening, especially those that disrupt the integrity of the skin.