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Author Question: An unconscious male patient has just arrived in the emergency department after a head injury caused ... (Read 101 times)

@Brianna17

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on: Jun 25, 2018
An unconscious male patient has just arrived in the emergency department after a head injury caused by a motorcycle crash. Which order should the nurse question?
 
  a. Obtain x-rays of the skull and spine.
  b. Prepare the patient for lumbar puncture.
  c. Send for computed tomography (CT) scan.
  d. Perform neurologic checks every 15 minutes.

Question 2

Propranolol (Inderal), a -adrenergic blocker that inhibits sympathetic nervous system activity, is prescribed for a patient who has extreme anxiety about public speaking. The nurse monitors the patient for
 
  a. dry mouth.
  b. bradycardia.
  c. constipation.
  d. urinary retention.


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dyrone

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Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: B
After a head injury, the patient may be experiencing intracranial bleeding and increased intracranial pressure, which could lead to herniation of the brain if a lumbar puncture is performed. The other orders are appropriate.

Answer to Question 2

ANS: B
Inhibition of the fight or flight response leads to a decreased heart rate. Dry mouth, constipation, and urinary retention are associated with peripheral nervous system blockade.


@Brianna17

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Reply 2 on: Jun 25, 2018
Thanks for the timely response, appreciate it

31809pancho

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Reply 3 on: Yesterday
Great answer, keep it coming :)

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