The nurse is caring for a child with an epidural hematoma. The nurse should assess for what signs that can indicate Cushing triad? (Select all that apply.)
a. Fever
b. Flushing
c. Bradycardia
d. Systemic hypertension
e. Respiratory depression
ANS: C, D, E
Cushing triad (systemic hypertension, bradycardia, and respiratory depression) is a late sign of impending brainstem herniation. Fever or flushing does not occur with Cushing triad.
You might also like to view...
A patient has been diagnosed with cancer of the lung and has metastases to the brain. The family should be aware that which of the following are neurologic signs and symptoms of metastatic brain disease?
A) Bradycardia B) Temperature greater than 100.5° F C) Increase in diastolic blood pressure D) Personality changes
The nurse notes the presence of this lesion on the patient's anterior chest. How should the nurse document this finding in the medical record?
1. purpura 2. ecchymosis 3. venous star 4. spider angioma
In comparison with HIV infection in adults, HIV infection in infants and children:
1. Has the same signs and symptoms 2. Has a shorter incubation period 3. Has a longer survival period 4. Is detected by using the same tests
The RN is graphing the distribution of influenza cases by the time of onset of influenza. What does this represent?
A) Epidemic curve B) Epidemiologic descriptive study C) Incidence density D) Incidence rate