The nurse is assisting with teaching family members about a patient's epidural bleed. Which understanding about an epidural bleed should guide the nurse's teaching?
a. It is usually arterial and may lead to death without rapid intervention.
b. It is usually venous and absorbs in time.
c. It is within the brain tissue, so residual effects are likely.
d. It usually causes quadriplegia, and rehabilitation will be necessary.
ANS: A
An epidural bleed is usually arterial in nature. Arterial bleeding can cause the hematoma to become large very quickly. The patient will die without rapid intervention. Subdural bleeds are more likely venous. A contusion is bruising of brain tissue. Paralysis depends on the area of central nervous system (CNS) injured.
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