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A Patient Is Admitted to the Hospital with a Head

Question 14

Multiple Choice

A patient is admitted to the hospital with a head injury resulting from an automobile accident.On admission,the patient's vital signs are temperature 37°C,blood pressure 128/68 mm Hg,pulse 110 beats/min,and respiration 26 breaths/min.One hour after admission,which of the following vital signs does the nurse note indicates the presence of Cushing's triad?


A) Blood pressure 140/60 mm Hg,pulse 60 beats/min,respiration 14 breaths/min
B) Blood pressure 130/72 mm Hg,pulse 90 beats/min,respiration 24 breaths/min
C) Blood pressure 148/78 mm Hg,pulse 112 beats/min,respiration 28 breaths/min
D) Blood pressure 110/70 mm Hg,pulse 120 beats/min,respiration 30 breaths/min

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