Which signs are manifestations of the Cushing triad? Select all that apply.

Bradycardia.

Bradypnea.

Hypertension.

Tachycardia.

Answer and Explanation

Correct Answer : A,B,C

Choice A rationale

Bradycardia (slow heart rate) is one of the key components of Cushing's triad, which indicates increased intracranial pressure and impending herniation.

Choice B rationale

Bradypnea (slow respiratory rate) is another manifestation of Cushing's triad and reflects brainstem compression.

Choice C rationale

Hypertension (high blood pressure) is the third component of Cushing's triad, resulting from the body's attempt to maintain cerebral perfusion.

Choice D rationale

Tachycardia (rapid heart rate) is not a sign of Cushing's triad and is not associated with increased intracranial pressure.

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Correct Answer is ["D","E"]

Explanation

Choice A rationale

Exercise is important but should be done in a well-lit, comfortable environment. Exercising in a dark room is not specifically beneficial for migraine management and may not address trigger factors effectively.

Choice B rationale

Adequate sleep is crucial for migraine management. Advising to sleep no more than 5 hours at a time is incorrect; sufficient rest is necessary to prevent migraines.

Choice C rationale

St. John's Wort is commonly used for depression and anxiety but has no proven efficacy for migraine management. It may also interact with other medications.

Choice D rationale

Keeping a food diary helps identify dietary triggers that can lead to migraines. Tracking food intake can reveal patterns and specific triggers to avoid.

Choice E rationale

Maintaining a headache diary is important for tracking migraine frequency, duration, and potential triggers. It helps in managing and understanding the condition better.

A. Gently pressing the bones on the neck. B. Moving the head toward both sides. C. Lightly tapping the lower portion of the neck to detect sensation. D. Moving the head and chin toward the chest.

Correct Answer is D

Explanation

Choice A rationale

Gently pressing the bones on the neck does not effectively test for neck rigidity, which is a common indicator of meningeal irritation or inflammation. This method may detect tenderness or bony abnormalities but not rigidity.

Choice B rationale

Moving the head toward both sides primarily assesses range of motion and flexibility. While reduced range of motion can be noted, this method doesn't specifically test for the resistance characteristic of neck rigidity.

Choice C rationale

Lightly tapping the lower portion of the neck to detect sensation tests for sensory nerve function but is not relevant to assessing muscle tone or rigidity, which is related to motor nerve and muscular response.

Choice D rationale

Moving the head and chin toward the chest is a proper technique to test for neck rigidity. This maneuver can elicit pain or resistance in cases of meningeal irritation, providing a reliable assessment for rigidity.

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Which signs are manifestations of the Cushing triad? Select all that apply.

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Naxlex Comprehensive Predictor Exams

The nurse is educating a group of people newly diagnosed with migraine headaches. What information should the nurse include in the educational session?

Correct Answer is ["D","E"]

Explanation

The nurse is performing the physical examination of a client with a suspected neurologic disorder. In addition to assessing other parts of the body, the nurse should assess for neck rigidity. Which method should help the nurse assess for neck rigidity correctly?

Correct Answer is D

Explanation

A nurse is planning discharge education for a client who underwent a cervical discectomy. What strategies would the nurse assess that would aid in planning discharge teaching?

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An older adult client has come to the clinic for a regular check-up. The nurse's initial inspection reveals an increased thoracic curvature of the client's spine. The nurse should document the spinal disorder as which of the following?

Which signs are manifestations of the Cushing triad? Select all that apply.

A nurse practitioner prescribes a therapeutic bath for a client with an exacerbation of psoriasis. The nurse tells the client to make sure the bath area is well ventilated. Which of the following is the therapeutic bath solution prescribed by the nurse?

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