The nurse documents all the signs of epidural hematoma in a patient with a closed head injury, which are: (Select all that apply.)
a. mottling of extremities.
b. periorbital ecchymosis.
c. Battle's sign.
d. nausea and vomiting.
e. PERRLA.
B, C, D
Raccoon eyes (periorbital ecchymosis), bruising behind the ears, and nausea and vomiting are some of the typical signs of epidural hematoma.
You might also like to view...
Postoperative teaching for a client who has had a vasectomy would cover which instructions?
a. Apply ice to the scrotum for four hours following surgery b. Other contraceptive devices are unnecessary as the sperm pathway has been severed c. Avoid strenuous activity for one month d. It may take up to one week for the semen to be clear of sperm
Which symptoms indicate insufficient testosterone? (select all that apply)
a. Increased muscle and decreased body fat b. Decreased interest in sex c. Increased bone density d. Decreased body hair e. Anemia f. Difficulty concentrating g. Muscle aches
This is the first time that a newly admitted client has been in an inpatient psychiatric unit. The client states, "I'm not going to these groups. I'm here to get some rest." Which nursing response reflects knowledge of milieu therapy?
A) "Group therapy gives you a chance to learn new coping skills and to practice them before you go home." B) "Group therapy is mandatory. All patients must attend." C) "Group therapy is optional. You can go if you think it will help you or if you find the topic interesting." D) "Group therapy is an economical way of providing therapy."
After a community health nurse implements an educational program for a local community group about food safety, which statement indicates that the teaching was successful?
A) "Handwashing is unnecessary if we use gloves." B) "After cooking the meat, we'll put it on the same platter that we used for the raw meat." C) "Our cooked foods should be cooled quickly." D) "If we peel the carrots, we don't need to wash them before eating."