Nurs222 Exam 3 Study Guide - 2 PDF - Neuro Emergency

Ch 38: Neuro Emergency Brain tumors: Primary - tumor originates in the CNS & rarely metastasize Secondary - from metastasis from other areas in the body (lung, breast, kidney, skin, GI) Complications ○ Brain tissue inflammation ○ Increase ICP ○ Neuro deficits...

Ch 38: Neuro Emergency Brain tumors: Primary - tumor originates in the CNS & rarely metastasize Secondary - from metastasis from other areas in the body (lung, breast, kidney, skin, GI) Complications ○ Brain tissue inflammation ○ Increase ICP ○ Neuro deficits ○ Pituitary dysfunction ○ Cerebral edema Classification ○ Benign (noncancerous) ○ Malignant ○ Mestactic ○ Supratentorial - w/in cerebral hemisphere above tentorium (dural fold) Paralysis, seizures, memory loss, cognitive & language impairment, vision problems ○ Infratentorial - beneath the tentorium Ataxia, ANS dysfunction, vomiting, droolin, hearing loss, vision impairment Recognize Cues: Assessment Common Sx h/a, n/v Seizures Impaired sensory perception (numbness/ tingling of face) Loss of balance, dizziness Weakness, paralysis Difficulty thinking, speaking, articulating words Chnages in cognition, mentation, personality Take Actions: Interventions Nonsurgical ○ Chemotherapy, lomustine, temozolmide TMZ, procarbazine, methotrexate, analgesics ○ Stereotactic radiosurgery - radiation ○ Tumor treating fields - electric fields to tumor Surgical ○ Craniotomy  Questions The nurse is caring for a client who is admitted to critical care after a craniotomy for a brain tumor near the pituitary gland. For which electrolyte imbalance would the nurse carefully monitor? A. Hypercalcemia B. Hypomagnesemia C. Hyponatremia D. Hyperkalemia The nurse is caring for a client who returned from the PACU to the critical care unit following an open craniotomy to remove a frontal lobe malignant tumor. Which client finding would the nurse report to the surgeon or Rapid Response Team immediately? A. Decline in level of consciousness B. Report of headache C. Drainage of 25 mL in 8 hours D. Periorbital edema