The nurse documents which sign(s) of epidural hematoma in a ...

[cnetterville]

The nurse documents which sign(s) of epidural hematoma in a patient with a closed head injury? (Select all that apply.)
 
  a. Mottling of extremities
  b. Periorbital ecchymosis
  c. Battle sign
  d. Nausea and vomiting
  e. PERRLA

Question 2

The nurse is seeking to motivate a frustrated patient who is learning to walk again after a stroke. Which intervention would be most effective?
 
  a. Show short movies on ambulation tech-niques.
  b. Observe the patient while in physical therapy.
  c. Arrange a visit with another stroke victim who has learned to ambulate.
  d. Encourage a 1-week break from therapy, which will help the resident come back refreshed.

[bulacsom]

Answer to Question 1

B, C, D
Raccoon eyes (periorbital ecchymosis), bruising behind the ears (Battle sign), and nausea and vomiting are some of the typical signs of epidural hematoma.

Answer to Question 2

C
Talking with someone who can truly understand the frustration is helpful. Showing a short movie on ambulation techniques may be an effective teaching tool, but it is not a motivational tool. Observing the resident is necessary but does not provide motivation. A 1-week break will inter-rupt progress that has been made, thus decreasing motivation.

[cnetterville]

TYSM

[deja]

Excellent