A 28-year-old male patient has been brought into the emergency department after suffering a closed head injury from a fall. The patient is demonstrating signs of the Cushing reflex. Based on the nurse's understanding of this condition, the nurse knows to look for signs of:

 

Want to Take FREE Nursing Practice Questions?

We have put together the World's Largest Bank of Nursing Practice Questions, and are letting you have access for FREE! You get to test out the system with 25 free nursing practice questions to start, and then memberships start at only a few bucks per month! Get started now for free - no credit card required!

Correct

- severe hypertension with a widening pulse pressure.

- decorticate posturing and fixed pupils.

- slow, deep breathing followed by periods of apnea.

- no physical response to stimulation.

Rationale

A patient with a head injury may demonstrate increased intracranial pressure and altered levels of consciousness. The symptoms of a head injury may progressively worsen during the initial period following the injury. Cushing's reflex is a late sign following a head injury; it is characterized by severe hypertension and a widening pulse pressure.

How Would You Rate The Quality of This Question?

We’re always trying to improve, so your feedback is vital to helping us make this resource as good as possible. Was it well written? Good content?

How Other Nurses Stack Up

58%

Answered The Question Correctly.