Which signs are manifestations of the Cushing triad? Select all that apply.

Bradycardia.

Bradypnea.

Hypertension.

Tachycardia.

Answer and Explanation

Correct Answer : A,B,C

Choice A rationale

Bradycardia (slow heart rate) is one of the key components of Cushing's triad, which indicates increased intracranial pressure and impending herniation.

Choice B rationale

Bradypnea (slow respiratory rate) is another manifestation of Cushing's triad and reflects brainstem compression.

Choice C rationale

Hypertension (high blood pressure) is the third component of Cushing's triad, resulting from the body's attempt to maintain cerebral perfusion.

Choice D rationale

Tachycardia (rapid heart rate) is not a sign of Cushing's triad and is not associated with increased intracranial pressure.

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Correct Answer is D

Explanation

Choice A rationale

Interactive dressings are designed to interact with the wound environment to promote healing. These can include dressings that release medication or create an optimal moisture balance. They are not typically used for acutely inflamed and oozing skin lesions.

Choice B rationale

Passive dressings are protective covers that keep the wound clean and protected from external contaminants. They do not have additional properties to manage wound exudate or inflammation.

Choice C rationale

Protective dressings are generally used to shield wounds from further injury or contamination. They do not specifically address the needs of an oozing and inflamed lesion.

Choice D rationale

Occlusive dressings are designed to maintain a moist wound environment, which can aid in the healing of oozing wounds. They can also provide a barrier to external contaminants and help manage exudate effectively, making them suitable for acutely inflamed and oozing lesions.

A. Tactile agnosia. B. Ataxia. C. Visual agnosia. D. Positive Romberg. E. Positive Romberg.

Correct Answer is C

Explanation

Choice A rationale

Tactile agnosia is the inability to recognize objects through touch, not vision. This condition affects the somatosensory cortex, impacting tactile processing.

Choice B rationale

Ataxia involves the loss of full control of bodily movements and coordination, not the inability to identify objects visually. It typically results from cerebellar dysfunction.

Choice C rationale

Visual agnosia is the inability to recognize familiar objects by sight despite having intact visual functioning. This condition often results from damage to the occipital or temporal lobes.

Choice D rationale

Positive Romberg sign indicates balance issues, typically seen when a client sways or falls when standing with eyes closed. It does not pertain to visual recognition deficits.

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Which signs are manifestations of the Cushing triad? Select all that apply.

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with a skin lesion that is oozing. The surrounding skin is acutely inflamed. What type of dressing should the nurse apply?

Correct Answer is D

Explanation

A client who has sustained a head injury cannot identify a familiar object. The nurse knows that this deficit is called which of the following?

Correct Answer is C

Explanation

The nurse is performing the physical examination of a client with a suspected neurologic disorder. In addition to assessing other parts of the body, the nurse should assess for neck rigidity. Which method should help the nurse assess for neck rigidity correctly?

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