Reference no: EM133854150

Assignment:

Jane Smith, an 82-year-old female client, was admitted after falling on ice and hitting the back of her head. She is lethargic, but awakens and will talk, but slurs some of her words. She is restless in bed. The LPN/LVN awakened the client to assess her vital signs and perform a neurological assessment. The client stated she has a headache especially in the morning or after she coughs or sneezes that quickly goes away. She turned her head away from the nurse and vomited without any nausea. The nurse needs to provide nursing care to decrease the increased intracranial pressure the client is experiencing.

1. What are the signs and symptoms the client exhibited that support increasing intracranial pressure?
2. What nursing care should the nurse provide to help decrease the increased intracranial pressure the client is experiencing?
3. ICP is the pressure created by 3 components in the cranial cavity. Name these three.
4. Describe Cushing's Triad. Why is this an important finding?
5. What is the difference between decorticate posturing and decerebrate posturing? Which is worse?
6. Your client has the following assessment findings. Eye Opening to sound only. Verbal Response. The client is grunting and not speaking any words. Motor Response is abnormal flexion. What is the rating on the Glasgow Coma Scale? What should you do?