A nurse is gathering neurological data on a patient with a neurological injury and observes signs indicative of Cushing’s Triad.
The nurse understands that Cushing’s Triad is a nervous system response that could prevent which of the following conditions?
Brainstem ischemia
Tachycardia
Agonal breathing
Chest pain
The Correct Answer is A
Choice A rationale
Cushing’s Triad, which includes bradycardia (low heart rate), irregular respiration, and widened pulse pressure, is a nervous system response that could prevent brainstem ischemia. Brainstem ischemia is a condition where there is insufficient blood flow to the brainstem, which can lead to cell death.
Choice B rationale
While tachycardia (high heart rate) is a serious condition, it is not typically prevented by Cushing’s Triad.
Choice C rationale
Agonal breathing, which is characterized by gasping, labored breathing, particularly when lying flat, is not typically prevented by Cushing’s Triad.
Choice D rationale
Chest pain is not typically prevented by Cushing’s Triad. Cushing’s Triad is a response to increased intracranial pressure, not a cardiac condition.
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Related Questions
Correct Answer is C
Explanation
Choice A rationale
While improved rehabilitation outcomes and temporary behavior changes can occur after a neurological injury, they are not typically considered psychosocial changes. Psychosocial changes often involve alterations in the way individuals perceive, interact with, and navigate their social environments.
Choice B rationale
Improved mood stability and temper control are not typically associated with the aftermath of a neurological injury. In fact, individuals may experience mood swings, irritability, and difficulties with emotional regulation.
Choice C rationale
Changes to social cognition and challenges to inhibitory control are indeed possible psychosocial changes a client might have after sustaining a neurological injury. Social cognition involves understanding and interpreting social cues, which can be affected by brain injury.
Challenges to inhibitory control can lead to impulsive behavior and difficulties in social situations.
Choice D rationale
While a sense of purpose, improved motivation, and stable relationships can be part of a successful recovery process, they are not typically direct outcomes of a neurological injury. In
fact, relationships may be strained and motivation can be affected due to the physical and emotional challenges associated with such an injury.
Correct Answer is ["A","D","F"]
Explanation
Choice A rationale
Patients with poorly controlled diabetes, such as those experiencing diabetic ketoacidosis (DKA), are at an increased risk of developing peripheral neuropathy. High blood sugar levels can damage peripheral nerves over time.
Choice B rationale
Sleep apnea is not typically associated with an increased risk of developing peripheral neuropathy.
Choice C rationale
While hypertension can lead to a variety of health complications, it is not typically associated with an increased risk of developing peripheral neuropathy.
Choice D rationale
Systemic Lupus Erythematosus (SLE) is an autoimmune disease that can affect the nervous system, including the peripheral nerves, leading to peripheral neuropathy.
Choice E rationale
Untreated tuberculosis is not typically associated with an increased risk of developing peripheral neuropathy.
Choice F rationale
Chronic alcohol use can lead to nutritional deficiencies, particularly of the B vitamins, which are essential for nerve health. This can result in peripheral neuropathy.
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