Chapter 63: Management of Patients With Neurologic Trauma1.The emergency department nurse is caring for a patient who has been brought in by ambu-lance after sustaining a fall at home. The patient is exhibiting an altered level of conscious-ness. Following a skull x-ray, the patient is diagnosed with a basilar skull fracture. Which sign should alert the nurse to this type of fracture?A)Babinski signB)Kernig's signC)Battle's signD)Brudzinski's signANS:CAn area of ecchymosis (bruising) may be seen over the mastoid (Battle's sign) in a basilar skull fracture. A positive Kernig's and positive Brudzinski's sign indicate meningeal irrita-tion. Babinski's sign (reflex) is indicative of CNS disease in the corticospinal tract.PTS:1DIF:ModerateREF:1920OBJ:1TOP:Head InjuriesKEY:Client Needs: A-1 | Cognitive Level: Application | Integrated Process: Nursing Pro-cess2.A patient is brought to the trauma center by ambulance after sustaining a high cervical spin-al cord injury 1 1/2 hours ago. What medication does the nurse know will be given to pre-vent further spinal cord damage?PTS:1DIF:ModerateREF:1934OBJ:7TOP:Spinal Cord InjuryKEY:Client Needs: D-2 | Cognitive Level: Application | Integrated Process: Nursing Pro-cess3.A nurse is caring for a patient with autonomic dysreflexia. What clinical manifestations would the nurse expect in this patient?
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- Fall '11
- Traumatic brain injury, Spinal cord injury