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An 18-year-old girl is admitted to the hospital with a depressed skull fracture as a result of a car accident. If the nurse were to observe a rising pulse rate and lowering blood pressure, the nurse would suspect that the client:
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B. Is having intracranial bleeding
C. Has a sudden and severe increase in intracranial pressure
D. Has sustained an internal injury in addition to the head injury
Answer: D
Explanation:
(A) Widening pulse pressure (high systolic and low diastolic) with compensatory slowing of pulse rate are late signs of increasing ICP. (B) Rising pulse rate and lowering blood pressure are indicative of hypovolemia due to hemorrhage. (C) High anxiety, in the absence of hemorrhage, would result in a high pulse rate and a high blood pressure. (D) Intracranial bleeding results in increased ICP. A change in level of consciousness is an early sign of increasing ICP, and vital sign changes are late signs of increasing ICP.
NEW QUESTION: 2
A. Option D
B. Option A
C. Option B
D. Option E
E. Option C
Answer: B,D,E
NEW QUESTION: 3
A process can be defined as a repetitive and systematic series of steps or activities where inputs are modified or assembled to achieve a _______________ result.
A. Customer desired
B. Revenue total
C. Financial
D. Budgeted
Answer: A
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D. Users can search for records of the customer object.
E. A custom app containing the custom tab is automatically created.
Answer: A,C,D
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