In assessing the patient with a significant right intracerebral hemorrhage, the nurse anticipates that the patient will demonstrate which signs?
a. Left-sided hemiplegia with dilated right pupil
b. Right-sided hemiplegia with brisk right pupil response
c. Bilateral motor hemiplegia with bilaterally dilated pupils
d. Left-sided hemiplegia and bilateral PER-RLA
A
An acute intracerebral bleed causing hematoma formation is accompanied by unconsciousness, hemiplegia on the contralateral (opposite) side, and a dilated pupil on the ipsilateral (same) side. However, the symptoms indicating a slow buildup of pressure within the skull are more subtle and less easily detected.
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