Symptoms depend primarily on the location of the mass within the
Symptoms related to increased intracranial pressure will occur.
(a) Decrease in level of consciousness.
Papilledema--edema of optic nerve.
Alterations in mentation.
Visual field defects.
Sensory defects (smell, hearing).
c. Preoperative Medical and Nursing Management.
(1) Instruct patient and family about the necessity and importance of
diagnostic tests to determine the exact location of the tumor.
(2) Monitor and record vital signs and neurological status accurately q2-4h,
or as ordered. Report changes to professional nurse immediately.
Institute measures to prevent inadvertent increases in intracranial
(a) Elevate head of bed 30.
(b) Stool softeners to prevent straining at stool (which increases