Question

A client is admitted with an epidural hematoma that resulted from a skateboarding accident. To differentiate the vascular source of the intracranial bleeding, which finding should the nurse monitor?

Answer 1

To differentiate the vascular source of the intracranial bleeding in a client with an epidural hematoma resulting from a skateboarding accident, the nurse should monitor for a decrease in blood pressure, presence of headache or changes in vision, and changes in neurological status.

Step-by-step explanation:

To differentiate the vascular source of the intracranial bleeding in a client with an epidural hematoma resulting from a skateboarding accident, the nurse should monitor for a decrease in blood pressure. This is because a decrease in blood pressure can indicate hemorrhage from a ruptured blood vessel. The nurse should also monitor for other signs of vascular bleeding, such as increased heart rate or changes in consciousness.

Another finding the nurse should monitor is the presence of headache or changes in vision, as these can indicate increased intracranial pressure caused by blood accumulation and edema in the brain.

Overall, the nurse should closely monitor the client's vital signs, neurological status, and any changes in symptoms to assess the source and severity of the intracranial bleeding.