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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:
A. Is beginning to experience a dangerously high level of anxiety
B. Has a sudden and severe increase in intracranial pressure
C. Is having intracranial bleeding
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 A
B. Option D
C. Option C
D. Option E
E. Option B
Answer: A,C,D
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. Financial
B. Customer desired
C. Budgeted
D. Revenue total
Answer: B
NEW QUESTION: 4
What happens when an administrator create a custom tab for a custom object?
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A. New records of the custom object can only be accessed from the related list on the parent record.
B. Users can search for records of the customer object.
C. A custom app containing the custom tab is automatically created.
D. New records of the custom object can be created from the sidebar.
E. The custom object has a home page.
Answer: B,D,E
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