A nurse caring for a client with head trauma will be monitoring the client for Cushing's triad. What will the nurse recognize as the symptoms associated with Cushing's triad? Select all that apply.

Tachycardia.

Bradypnea.

Hypertension.

Bradycardia.

Answer and Explanation

Correct Answer : B,C,D

Choice A rationale

Tachycardia is not a symptom of Cushing's triad; it is often associated with other conditions such as stress or heart problems.

Choice B rationale

Bradypnea is a hallmark of Cushing's triad, indicating decreased respiratory rate due to increased intracranial pressure.

Choice C rationale

Hypertension is a key component of Cushing's triad, caused by increased intracranial pressure leading to elevated blood pressure.

Choice D rationale

Bradycardia, or a slower than normal heart rate, is a symptom of Cushing's triad, resulting from increased pressure in the brain affecting the heart rate.

Choice E rationale

Pupillary constriction is not typically associated with Cushing's triad; it is usually related to other neurological conditions.

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Correct Answer is A

Explanation

Choice A rationale

The frontal lobe is responsible for various high-level cognitive functions, including the regulation of emotions and affect. It plays a crucial role in personality expression, decision-making, and moderating social behavior. Damage or dysfunction in the frontal lobe can lead to changes in personality and affect, including a flat affect.

Choice B rationale

The occipital lobe is primarily responsible for processing visual information. It is located at the back of the brain and is not involved in regulating emotions or affect. Therefore, it does not play a role in the client’s flat affect.

Choice C rationale

The parietal lobe is involved in processing sensory information such as touch, temperature, and pain. It also plays a role in spatial orientation and motor control. However, it is not directly involved in regulating emotions or affect. Thus, it does not contribute to the client’s flat affect.

Choice D rationale

The temporal lobe is involved in processing auditory information and is critical for memory and language comprehension. While it plays a role in emotion processing, it is not the primary lobe responsible for affect. The frontal lobe has a more direct impact on emotional regulation and affect.

A. Encourage adequate water intake by the client. B. Distract the client's attention from the test. C. Inform the client that they will not experience any electrical shock. D. Inform the client that they will experience only mild electrical shock. E. Inform the client that they will experience only mild electrical shock.

Correct Answer is C

Explanation

Choice A rationale

Encouraging adequate water intake is important for overall health, but it does not directly address the client’s fear of undergoing an EEG. Adequate hydration can ensure better conduction of electrical signals, but it has no bearing on the client's anxiety related to a past electrocution incident. Therefore, it would not be effective in alleviating the client's specific fear regarding the EEG procedure.

Choice B rationale

Distracting the client’s attention from the test may temporarily reduce anxiety, but it does not address the underlying fear. The client’s fear stems from a misunderstanding of the EEG procedure, and distraction will not resolve this. It is more effective to provide factual information to dispel the fear.

Choice C rationale

Informing the client that they will not experience any electrical shock is a crucial step in alleviating their fear. An EEG records brain activity through electrodes placed on the scalp; it does not involve sending electrical currents into the body. Clarifying this fact helps address the root cause of the client’s fear, providing reassurance and reducing anxiety.

Choice D rationale

Informing the client that they will experience only mild electrical shock is incorrect and misleading. An EEG does not deliver any electrical shock to the client. Providing inaccurate information could increase the client’s anxiety and distrust. Proper education about the procedure's safety is essential for alleviating the client’s fear.

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A nurse caring for a client with head trauma will be monitoring the client for Cushing's triad. What will the nurse recognize as the symptoms associated with Cushing's triad? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing a neurological assessment on a client at home. During the assessment, the nurse notices that the client has a flat affect. Which lobe of the brain is responsible for a person's affect?

Correct Answer is A

Explanation

Correct Answer is C

Explanation

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