SOLVED677

The nurse is caring for Angela Everheart, a 57-year-old female brought to the emergency department (ED). Review the electronic health record (EHR) and answer the below.​ Nurses’ Notes Date/Time Nurse’s Note 07/05/20XX 1901 Received Angela Everheart, a 57-year-old female who was brought to the emergency department after experiencing a severe headache that she has had for three days. In the emergency department, she experiences a decreased level of consciousness. She does not open her eyes or respond verbally to any stimuli. Motor response to pain is decerebrate posturing. Pupils are dilated and unequal, with the right pupil being at 7mm, the left being 3mm, and both unresponsive to light. T: 98.4 °F (36.9 °C), BP 180/60, P: 45, R: 8 and irregular, Oxygen Saturation: 84%. Admission weight: 78 kg. Glasgow coma scale: 4 Analyzing Cues For each symptom listed in the first column, choose a condition associated with the symptoms. There may be more than one condition with the associated symptoms. Migraine Autonomic Dysreflexia Increased Intracranial Pressure Severe headache Nausea Slow and/or irregular respirations Flushing or sweating Bradycardia Impaired movement
SCIENCE
HEALTH SCIENCE
NURSING

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