2024 NURS 580 Final Exam New Latest Version with
All Questions from Actual Past Exam and 100%
Correct Answers
A nurse in the emergency department is monitoring a client who has a cervical spinal
cord injury from a fall. The nurse should monitor the client for which of the following
complications? (Select all that apply.)
1.Hypotension
2.Polyuria
3.Hypoglycemia
4.Absence of bowel sounds
5. Weakened gag reflex ---------- Correct Answer ---------- 1. Hypotension
4. Absence of bowel sounds
5. Weakened gag reflex
A nurse is caring for a client who has a traumatic brain injury. Which of the following
findings should the nurse identify as an indication of increased intracranial pressure
(ICP)?
1.Tachycardia
2.Amnesia
3.Hypotension
4.Restlessness ---------- Correct Answer ---------- 4.Restlessness
[Increased intracranial pressure is a condition in which the pressure of the cerebrospinal
fluid or brain matter within the skull exceeds the upper limits for normal. Signs of
increasing ICP include restlessness, irritability and confusion along with a change in
level of consciousness, or a change in speech pattern (early indicator)]
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