A client is brought to the emergency room immediately after head trauma that has resulted in a fracture of the temporal bone. What clinical manifestation is considered a neurologic emergency in this client?
A. Hemianopsia
B. Abnormal head tilt
C. Loss of peripheral vision
D. Change in level of consciousness
D
A fracture of the temporal bone can cause an epidural hematoma to form. An epidural hematoma can be characterized by a deterioration in level of consciousness. Generally, emergency surgical evacuation of the hematoma is the best intervention for minimizing permanent neurologic im-pairment.
You might also like to view...
A patient who is alert and oriented is threatening to leave the hospital against medical advice (AMA). What action should the nurse take?
a. Forcibly detain and restrain the patient. b. Administer a sedative hypnotic medication. c. Prevent patient from leaving until an AMA form is signed. d. Notify the physician that the patient is threatening to leave AMA.
Select the priority nursing assessments for the woman having tocolytic therapy with terbutaline
a. Fetal heart rate, maternal pulse, and blood pressure b. Internal temperature and odor of amniotic fluid c. Intake and output d. Maternal blood glucose
The patient is brought into the emergency department after a motor vehicle accident. The patient is unresponsive
The nurse is concerned about whether or not the patient wears contact lenses because contact lenses that are not removed can cause _______________. Fill in the blanks with correct word
A patient taking ciprofloxacin (Cipro) reports pain and burning on urination. What is the nurse's best action?
a. Notify the prescriber that the patient's urinary tract infection is not responding to the drug. b. Remind the patient that the pain is related to the body eliminating the infectious bacteria. c. Instruct the patient to drink a full glass of water with each drug dose and increase fluids. d. Ask the patient whether blood or pus also is present in the urine.