The nurse is caring for a client with Cushing's triad. The nurse expects the client to have:

Irregular respirations, bradycardia, and widening pressure

Hypotension, jugular venous distention, and mufled heart sound

Fixed pupils, hypertension, and bradycardia

Bradycardia, hypotension, and bradypnea

Answer and Explanation

The Correct Answer is C

Choice A rationale: Irregular respirations, bradycardia, and widened pulse pressure might indicate increased intracranial pressure.

Choice B rationale: This set of symptoms is often seen in cardiac tamponade and is referred to as the Beck’s triad and not Cushing's triad.

Choice C rationale: Cushing's triad is a set of clinical signs associated with increased intracranial pressure (ICP) and typically includes bradycardia (slow heart rate),

hypertension (elevated blood pressure), and irregular breathing patterns. Fixed pupils can also be present in some cases, but it's important to note that this triad is not always consistently present and may vary from person to person.

Choice D rationale: This set of symptoms describes symptoms of shock, not specifically Cushing's triad.

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Correct Answer is C

Explanation

Choice A rationale: Conus medullaris syndrome involves injury or compression to the end portion of the spinal cord and can present with various symptoms but not necessarily lack of normal sympathetic outflow leading to shock.

Choice B rationale: Concussion is a mild traumatic brain injury, and the symptoms described align more with spinal cord injury leading to neurogenic shock.

Choice C rationale: Neurogenic shock occurs due to the loss of sympathetic tone and is characterized by bradycardia, low blood pressure, and vasodilation following spinal cord injury at or above the level of the sixth thoracic vertebra.

Choice D rationale: Diffuse axonal injury typically presents with more widespread brain injury-related symptoms and is not associated with the specific spinal cord-related symptoms described.

A. Hypothyroidism B. Pineal tumor C. Hypoparathyroidism D. Pheochromocytoma

Correct Answer is C

Explanation

Choice A rationale: Chvostek and Trousseau signs are not typically associated with hypothyroidism.

Choice B rationale: These signs are not commonly related to pineal tumors.

Choice C rationale: Chvostek and Trousseau signs, indicating neuromuscular irritability due to hypocalcemia, are often seen in hypoparathyroidism.

Choice D rationale: Chvostek and Trousseau signs are not characteristic findings in pheochromocytoma.

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The nurse is caring for a client with Cushing's triad. The nurse expects the client to have:

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Naxlex Comprehensive Predictor Exams

The medical reports of a client who suffered an accident show injuries at the sixth thoracic vertebra, lack of normal sympathetic outflow, bradycardia and low blood pressure. Which condition does the nurse suspect in the client?

Correct Answer is C

Explanation

The nurse observes the final diagnosis of four clients in their case reports as given below. In which client does the nurse notice the presence of Chvostek sign and Trousseau sign?

Correct Answer is C

Explanation

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