NR.210.664 EXAM (JHU) QNS & ANS ACUTE CARE IV 2026/2027 (31pages)

A client is considering treatments for a malignant brain tumor. Which statement by the client indicates a need for further instruction by the nurse? A. "A combination of treatments might be necessary." B. "In a craniotomy, holes are cut in the skull to access the tumor." C. "I can go home the day of my craniotomy." D. "The goal is to decrease tumor size and improve survival time." - ANSWER C. "I can go home the day of my craniotomy." The nurse knows that further instruction is needed when a client considering treatment for malignant brain tumor says, "I can go home the day of my craniotomy." Craniotomies are inclient procedures. The client will be admitted to critical care for monitoring after the procedure and may be mechanically ventilated for 24-48 hours postprocedure.Chemotherapy, radiation, and surgery are often used in conjunction with each other to treat malignancies. For a craniotomy, several burr holes are drilled into the skull, and a saw is used to remove a piece of bone (bone flap) to expose the tumor area. The goals of treatment of brain tumor are to decrease tumor size, improve quality of life, and improve survival time. A client hospitalized for hypertension presses the call light and reports "feeling funny." When the nurse gets to the room, the client is slurring words and has right-sided weakness. What does the nurse do first? A. Assesses airway, breathing, and circulation