Following a head injury, a client is diagnosed with a possible intracranial epidural hematoma. During the initial assessment, the client suddenly becomes unconscious. Other clinical manifestations that correlate with this diagnosis may include:
A) Ipsilateral pupil dilation
B) Ipsilateral hemiparesis
C) Diffuse venous bleeding from the nose
D) Increased head circumference with hydrocephalus
Ans: A
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With rapidly developing unconsciousness, there are focal symptoms related to the area of the brain involved. These symptoms can include ipsilateral (same side) pupil dilation and contralateral (opposite side) hemiparesis. Because bleeding is arterial in origin, rapid compression of the brain occurs from the expanding hematoma. Communicating hydrocephalus occurs as the result of impaired reabsorption of cerebrospinal fluid (CSF) from the arachnoid villi into the venous system. This is unrelated to this situation.
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