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Home Q & A Board Biology-Related Homework Help Medicine Nursing and Clinical
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ktrcathy ktrcathy
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6 years ago
When caring for a patient after a head injury, the nurse would be most concerned with assessment findings which included respiratory changes along with what other findings?
 
  a. Hypertension and bradycardia
  b. Hypertension and tachycardia
  c. Hypotension and bradycardia
  d. Hypotension and tachycardia
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#1
6 years ago
ANS: A
Hypertension with widening pulse pressure, bradycardia, and respiratory changes are the ominous late signs of increased intracranial pressure and indications of impending herniation (Cushing's triad). It is bradycardia, not tachycardia, which is the component of this ominous triad. It is hypertension, not hypotension, which is the component of this ominous triad.
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