A patient with traumatic brain injury is experiencing cerebral edema, which has led to severely elevated intracranial pressure. He has increased pulse pressure, decreased heart rate, and an irregular respiratory pattern
He has lost consciousness and demonstrates bilateral pupillary dilation. The nurse recognizes that these symptoms point to which condition?
A) Central herniation syndrome
B) Uncal herniation syndrome
C) Cerebrovascular injury
D) Diffuse axonal injury
A
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Which of the following is least likely a risk factor associated with those who abuse the elderly?
a. history of mental illnessb . overwhelmed c. poor self-image d. female
The nurse is describing the action of insulin in the body to a client newly diagnosed with type 1 diabetes. Which of the following would the nurse explain as being the primary action?
A) It carries glucose into body cells. B) It aids in the process of gluconeogenesis. C) It stimulates the pancreatic beta cells. D) It decreases the intestinal absorption of glucose.
A client is admitted with a chemical injury to the esophagus after ingestion of an alkaline substance. The client states, "I am having trouble breathing because of these air bubbles in my neck." Which action by the nurse is most appropriate?
a. Continue assessing the client while anoth-er nurse calls the health care provider. b. Ask the client to rate the pain and prepare to administer pain medication. c. Have the client cough and deep breathe, then assess his or her lung sounds. d. Give the client small sips of water to see whether he or she has dysphagia.
A common nursing diagnosis during an acute attack of gout is acute pain related to:
a. edema of the extremities. b. vascular occlusion. c. hyperuricemia. d. deposition of urate crystals in body tissues.