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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Administering systemic antibiotics is essential to treat the underlying bacterial infection causing severe impetigo. This intervention helps reduce infection spread and promotes healing.
Choice B rationale
Placing mitts on the client's hands may prevent scratching, which can worsen impetigo, but it is not the primary treatment for the infection itself. Antibiotic therapy is more crucial.
Choice C rationale
Continuing antibiotics for 21 days is not a standard duration for impetigo treatment. The treatment duration typically ranges from 7 to 10 days, depending on the severity and response to treatment.
Choice D rationale
Topical antibiotics are used for mild cases of impetigo. For severe impetigo, systemic antibiotics are more appropriate and effective in managing the infection.
Correct Answer is B
Explanation
Choice A rationale
Vitiligo is a condition characterized by depigmentation of the skin, leading to white patches. It does not typically affect the fingernails, so pitting on the surface of the nails is not indicative of vitiligo.
Choice B rationale
Psoriasis is a chronic skin condition that often affects the nails, leading to pitting or the appearance of small depressions on the nail surface. Nail psoriasis can also cause discoloration, thickening, and separation of the nail from the nail bed.
Choice C rationale
Melanoma is a type of skin cancer that can affect the nails, causing dark streaks or pigmentation changes. However, pitting on the surface of the nails is not a characteristic feature of melanoma.
Choice D rationale
Diabetes can lead to various nail changes, including thickening and yellowing of the nails, but it does not typically cause pitting on the nail surface. Pitting is more specific to psoriasis.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.