What should the nurse recognize as symptoms of a brain tumor in a school-age child? (Select all that apply.)
A) Blurred vision
B) Increased head circumference
C) Vomiting when getting out of bed
D) Intermittent headache
E) Declining academic performance

Question

Quizplus · Accepted Answer

Visual changes such as nystagmus,diplopia,and strabismus are manifestations of a brain tumor.The change in position on awakening causes an increase in intracranial pressure,which is manifested as vomiting.Vomiting on awakening is considered a hallmark symptom of a brain tumor.Increased intracranial pressure resulting from a brain tumor is manifested as a headache.School-age children may exhibit declining academic performance,fatigue,personality changes,and symptoms of vague,intermittent headache.Other symptoms may include seizures or focal neurologic deficits.Manifestations of brain tumors vary with tumor location and the child's age and development.Infants with brain tumors may have increased head circumference with a bulging fontanel.School-age children have closed fontanels,and therefore their head circumferences do not increase with brain tumors.

What Should the Nurse Recognize as Symptoms of a Brain