The nurse is caring for a child with an epidural hematoma. The nurse should assess for what signs that can indicate Cushing triad? (Select all that apply.)
A) Fever
B) Flushing
C) Bradycardia
D) Systemic hypertension
E) Respiratory depression

Question

Quizplus · Accepted Answer

Cushing triad (systemic hypertension, bradycardia, and respiratory depression) is a late sign of impending brainstem herniation. Fever or flushing does not occur with Cushing triad.

The Nurse Is Caring for a Child with an Epidural