Author Question: The nurse documents which sign(s) of epidural hematoma in a patient with a closed head injury? ... (Read 114 times)

cnetterville · **on:** Jun 25, 2018

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 · **Reply #1 on:** Jun 25, 2018

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.