Explain why mrs. khan is experiencing headache

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Question

Mrs. Khan is a 68-year-old female that presents to the emergency department with acute confusion, lethargy and headache. She reports that she feels nauseated but has not vomited. The patient explains that she has felt "off" since she fell off her horse two days ago. She does admit to hitting her head on the ground and sustaining a laceration to the back of her head. She reports that she was alone when she fell and does not recall the fall "I just recall finding myself on the ground". She did not seek medical care following the injury.

Mrs. Khan has a history of atrial fibrillation and asthma. She uses puffers just as needed and is on a daily anticoagulant.

Her vital signs are BP 170/65 HR 52 RR 24 SP02 99 on room air.

1. Learning and understanding Mrs. Khan's history of events what should the nurse be concerned about?

a. Identify and explain the neurologic emergency that Mrs. Khan is experiencing, and the pathophysiology associated with this disorder.

b. What clinical manifestations are associated with this disorder?

c. Explain why Mrs. Khan is experiencing a headache?

d. What assessment tools will the nurse use to monitor the patient while she is in the emergency department?

e. What impact does Mrs. Khans previous health history have on her current health crisis?

f. What diagnostic tools could you expect to be used in this case? (xray,CT,laboratory data etc).

g. Explain what sequence of events may occur if Mrs. Khan is not treated promptly? And how will this sequence of events alter the patients' vital signs?

Reference no: EM133930300

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