NEUROLOGY
HEMIPARESIS
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Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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A nurse is reviewing a CT scan of the brain, which states that the client has arterial bleeding with blood accumulation above the dura. Which of the following facts of the disease progression is essential to guide the nursing management of client care?
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The crash cart with defibrillator is kept nearby.
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Bleeding continues into the intracerebral area.
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Monitoring is needed as rapid neurologic deterioration may occur.
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Symptoms will evolve over a period of 1 week.
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Explanation:
Detailed explanation-1: -In a subdural hematoma, the blood seeps between the dura and the arachnoid layers. It collects inside the brain’s tough outer lining. This bleeding often comes from a blood vessel that breaks within the space around the brain.
Detailed explanation-2: -The initial management of patients with an altered LOC involves stabilizing ABCs, protecting the patient from further injury (e.g. immobilize C-spine if indicated), and promptly treating reversible causes.
Detailed explanation-3: -Answer: b. Respiratory rate. Rationale: Vital centers that control respiration are located in the medulla and part of the brainstem. They require priority assessments because changes in respiratory function may be life threatening.
There is 1 question to complete.