Practice Exercise 2

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Total Questions : 5

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Question 1:

A nurse is assessing a client with a severe head injury. The nurse observes the client's pupils are dilated and fixed, and the client's vital signs show an increase in systolic blood pressure, a widened pulse pressure, and a decrease in heart rate. The nurse recognizes this constellation of signs as an indication of:

Answer and Explanation

A
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Question 2:

A nurse is caring for a client who sustained a closed-head injury. The nurse understands that the primary mechanism contributing to the development of increased intracranial pressure (ICP) is:

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A
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Question 3:

The nurse is assessing a client with a severe head injury. Which of the following findings are late signs of increased intracranial pressure (ICP)? (Select all that apply.)

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Question 4:

A nurse is caring for a client who experienced a head injury and is at risk for developing a subarachnoid hemorrhage. Which of the following manifestations should the nurse monitor for as a potential sign of this complication?

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Question 5:

A client with a head injury develops a high fever, nuchal rigidity, and photophobia. The nurse suspects the client is developing which of the following complications?

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