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    Ati ew n300 med surg final proctored exam

    A nurse is caring for an elderly client who has been admitted to the oncology unit. Exhibits Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.

    Explanation & Rationale

    Potential Condition: Brain Tumor The client has an abnormal mass in the frontal lobe on CT and a lesion in the left hemisphere on MRI, both of which strongly suggest a brain tumor. The frontal lobe controls higher-level functions such as cognition, behavior, and voluntary movement, making neurological monitoring crucial. The serum calcium level is at the high-normal limit, which can sometimes occur in malignancy, although it's not yet hypercalcemia. Actions to Take • Elevate the head of the bed: This reduces intracranial pressure and promotes venous drainage from the brain, which is critical in clients with brain tumors. • Administer anti-seizure medication: Brain tumors can irritate cerebral tissue and increase the risk of seizures. Prophylactic anticonvulsants are often indicated. Parameters to Monitor • Neurological status: Assess for changes in level of consciousness, pupil response, motor strength, and coordination, which may indicate tumor progression or increased intracranial pressure. • Cognitive function: Since the tumor involves the frontal lobe, the client is at risk for deficits in judgment, memory, orientation, and executive function. Regular assessments support early intervention and rehabilitation planning.

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