A patient is admitted to the stepdown unit after 3 days in the intensive care unit recovering from an epidural bleed. The nurse explains to the family that an epidural bleed occurs in which part of the brain?
a. Space below the dura
b. Circle of Willis
c. Space between the dura and the skull
d. Spinal meninges
ANS: C
An epidural hematoma is a collection of blood between the dura mater and skull, is usually arterial in nature, and is often associated with skull fracture. A subdural hematoma is typically venous in nature and accumulates between the dura and arachnoid membranes.
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A 33-year-old man has been a chronic abuser of alcohol for several years and has been admitted to the emergency department many times because of the consequences of his alcohol use
Most recently, he has been brought in by emergency medical services after being found unconscious outside a local mall. The nurse who is admitting the patient should prioritize what assessments? A) Assessing the patient's patterns of dependence and coping strategies B) Assessing neurological status and assessing for electrolyte imbalances C) Assessing for impaired nutrition D) Assessing for possible interactions between alcohol and other drugs
A clinic nurse receives a phone call from a parent who states that a 2-month-old infant has a severe cough, a low-grade fever, and a runny nose that have lasted over a week. What will the nurse ask the parent?
a. Whether the infant has had the first set of vaccines b. Whether the infant received a hepatitis B vaccine as a newborn c. Whether the infant attends day care d. Whether there is a family history of respi-ratory disorders
A patient, on day seven of treatment for a traumatic brain injury, begins to demonstrate large amounts of urine output and an elevated serum sodium level. Which of the following does this assessment finding suggest to the nurse?
1. syndrome of inappropriate antidiuretic hormone 2. cerebral salt wasting 3. diabetes insipidus 4. renal failure
What has been a traditional responsibility of school health nurses since the 1980s?
A. Drug abuse B. Environment C. First aid and safety D. Sexual behaviors