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When assessing a patient with a head injury, the nurse recognizes that the earliest indication of increased intracranial pressure (ICP) is

The nurse is caring for a patient who has a head injury. Which finding, when reported to the health care provider, should the nurse expect will result in new prescribed interventions?

A patient reports feeling numbness and tingling of the left arm before experiencing a seizure. The nurse determines that this history is consistent with what type of seizure?

The nurse admitting a patient who has a right frontal lobe injury would expect the patient may have

The home health nurse is caring for an 81-yr-old who had a stroke 2 months ago. Based on information shown in the accompanying figure from the history, physical assessment, and physical and occupational therapy, which problem is the highest priority? History Physical Assessment Physical/Occupational Therapy · Well controlled type 2 diabetes for 10 years· Married 45 years; spouse has heart failure and chronic obstructive pulmonary disease · Oriented to time, place, person· Speech clear·Minimal left leg weakness · Uses cane with walking· Spouse does household cleaning and cooking and assists patient with bathing and dressing  

While admitting a 42-yr-old patient with a possible brain injury after a car accident to the emergency department (ED), the nurse obtains the following information. Which finding is most important to report to the health care provider?

The nurse is admitting a patient who has a neck fracture at the C6 level to the intensive care unit. Which assessment findings indicate neurogenic shock?

A female patient who had a stroke 24 hours ago has expressive aphasia. An appropriate nursing intervention to help the patient communicate is to

Admission vital signs for a brain-injured patient are blood pressure of 128/68 mm Hg, pulse of 110 beats/min, and of respirations 26 breaths/min. Which set of vital signs, if taken 1 hour later, will be of most concern to the nurse?

When a brain-injured patient responds to nail bed pressure with internal rotation, adduction, and rigid flexion of the arms, the nurse reports the response as