Author Question: What is the cardinal sign of increased intracranial pressure in a brain injured patient? a. Pupil ... (Read 56 times)

D2AR0N · **on:** Jul 11, 2018

What is the cardinal sign of increased intracranial pressure in a brain injured patient?

a. Pupil changes
b. Ipsilateral paralysis
c. Vomiting
d. Decrease in the level of consciousness

Question 2

The nurse is aware that when assessing a patient by the FOUR score coma scale, the patient is assessed in four categories: eye response, brainstem reflexes, motor response, and respiration. How are these results reported?

a. As a sum of the scores of the four categories
b. As part of the Glasgow coma scale
c. As individual scores in each category
d. As progressive scores during a 24-hour period

cdmart10 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

ANS: D
Collection of objective data includes a change in level of consciousness. A change in the level of consciousness is the earliest sign of increased intracranial pressure.

Answer to Question 2

ANS: C
The FOUR score coma scale assesses the patient in four categories: eye response, brainstem reflexes, motor response, and respiration. The scores are reported as individual scores in each category. It is frequently done in conjunction with the Glasgow coma scale, not part of it.