Asked by Maria Chavarin on Jun 11, 2024
Verified
When caring for a patient after a head injury, the nurse would be most concerned with assessment findings which included respiratory changes along with what other findings?
A) Hypertension and bradycardia
B) Hypertension and tachycardia
C) Hypotension and bradycardia
D) Hypotension and tachycardia
Respiratory Changes
Alterations in breathing or lung function, which could be indicative of health issues.
Bradycardia
A medical condition characterized by an abnormally slow heart rate, typically less than 60 beats per minute in adults.
Tachycardia
A condition characterized by an abnormally fast heart rate, typically defined as a resting heart rate over 100 beats per minute.
- Recognize vital sign changes post-head injury indicating increased intracranial pressure or other complications.
Verified Answer
BK
Babak KouchekiJun 17, 2024
Final Answer :
A
Explanation :
Hypertension with widening pulse pressure, bradycardia, and respiratory changes are the ominous late signs of increased intracranial pressure and indications of impending herniation (Cushing's triad). It is bradycardia, not tachycardia, which is the component of this ominous triad. It is hypertension, not hypotension, which is the component of this ominous triad.
Learning Objectives
- Recognize vital sign changes post-head injury indicating increased intracranial pressure or other complications.
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