A nurse is monitoring a patient who sustained a head injury.The nurse recognizes which finding as the earliest sign of change in neurologic status?
A)The patient cannot remember where he is.
B)The patient's pupil size is increased.
C)The patient's blood pressure has increased.
D)The patient exhibits decorticate posturing when stimulated.

Question

Quizplus · Accepted Answer

The earliest sign of a change in neurologic status, especially following a head injury, is often a change in the level of consciousness or confusion, such as not remembering where one is. This can indicate the brain's response to injury before more severe symptoms, such as changes in pupil size, blood pressure alterations, or abnormal posturing, manifest.

A Nurse Is Monitoring a Patient Who Sustained a Head