222 Brain Tumors Overview
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Questions and Answers

What type of brain tumor originates in the central nervous system and rarely metastasizes?

  • Secondary
  • Primary (correct)
  • Malignant
  • Benign

Malignant brain tumors are benign and do not pose life-threatening risks.

False (B)

Name one common symptom of brain tumors.

headache

A brain tumor that originates from metastasis in other areas of the body, such as the lungs or kidneys, is classified as a __________ brain tumor.

<p>secondary</p> Signup and view all the answers

Which of the following complications is NOT associated with brain tumors?

<p>Cardiac dysfunction (A)</p> Signup and view all the answers

Match the following brain tumor locations with their associated symptoms:

<p>Supratentorial = Seizures and memory loss Infratentorial = Ataxia and vomiting</p> Signup and view all the answers

Which electrolyte imbalance should a nurse carefully monitor in a patient after a craniotomy for a brain tumor near the pituitary gland?

<p>Hyponatremia (D)</p> Signup and view all the answers

Pituitary dysfunction can occur as a complication of brain tumors.

<p>True (A)</p> Signup and view all the answers

Flashcards

Brain Tumor Origin

Brain tumors can be primary, originating in the CNS, or secondary, originating from metastasis from other parts of the body.

Brain Tumor Complications

Complications include brain tissue inflammation, increased intracranial pressure (ICP), neurological deficits, pituitary dysfunction, and cerebral edema.

Brain Tumor Classification

Brain tumors can be classified as benign (noncancerous), malignant, metastatic, supratentorial (above the tentorium), or infratentorial (below the tentorium).

Supratentorial Tumor Location

Supratentorial tumors are located within the cerebral hemispheres above the tentorium, a dural fold.

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Infratentorial Tumor Location

Infratentorial tumors are located beneath the tentorium.

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Signs of a Brain Tumor

Common signs include headache, nausea/vomiting, seizures, impaired sensory perception, loss of balance, weakness, difficulty thinking/speaking, and changes in cognition/personality.

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Craniotomy and Electrolyte Imbalance

After a craniotomy, especially near the pituitary gland, carefully monitor for hyponatremia (low sodium levels).

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Post-Craniotomy Monitoring

Following a craniotomy, immediately report any decline in level of consciousness to the surgeon or Rapid Response Team.

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Study Notes

Brain Tumors

  • Primary tumors originate in the central nervous system (CNS) and rarely metastasize.
  • Secondary tumors are from metastasis from other parts of the body (e.g., lung, breast, kidney).
  • Complications include brain tissue inflammation, increased intracranial pressure (ICP), neurological deficits, pituitary dysfunction, and cerebral edema.
  • Classification includes benign (non-cancerous) and malignant (cancerous) tumors.
  • Supratentorial tumors are located above the tentorium cerebelli, potentially causing paralysis, seizures, memory loss, cognitive and language impairments, and visual problems.
  • Infratentorial tumors are located below the tentorium, potentially causing ataxia, autonomic nervous system dysfunction (ANS), vomiting, drooling, hearing loss and vision impairment.

Assessment of Brain Tumor Patients

  • Common symptoms include headaches, nausea and vomiting (N&V), seizures, altered sensory perception (numbness or tingling), balance problems, weakness or paralysis, difficulties with thinking, speaking, and changes in cognition or personality.

Interventions for Brain Tumor Patients

  • Nonsurgical interventions include chemotherapy (e.g., lomustine, temozolomide, procarbazine, methotrexate) and radiation therapy (stereotactic radiosurgery).
  • Tumor Treating Fields (TTFs) use electric fields to target the tumor.
  • Surgical interventions include craniotomy.

Electrolyte Imbalance Monitoring After Craniotomy

  • After a craniotomy near the pituitary gland, the nurse should carefully monitor for hyponatremia (low sodium levels).

Reporting Critical Findings After Craniotomy

  • A decline in the level of consciousness is a critical finding requiring immediate reporting to the surgeon or rapid response team.
  • Other findings like headaches, drainage of 25 mL in 8 hours, or periorbital edema are not immediate priorities compared to a change in level of consciousness.

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Description

This quiz covers the basics of brain tumors, including their classification, origins, and complications. You'll learn about primary and secondary tumors, symptoms, and the effects on neurological function. Test your knowledge about the different types of tumors and their impact on patients.

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