client who is admitted with a hemorrhagic stroke course hero

by Mauricio Armstrong 9 min read

How does hemiparesis affect the body?

Hemiparesis affects muscle strength on one side of the body; the joints are not directly affected. Initially after a brain attack (stroke, cerebrovascular accident), a client's pupils are equal and reactive to light. Four hours later the nurse identifies that one pupil reacts more slowly than the other.

What does a nurse use to assess a client with a head injury?

The nurse uses the Glasgow Coma Scale to assess a client with a head injury. Which Glasgow Coma Scale score indicates that the client is in a coma?

What does a nurse assess?

A nurse assesses a client and observes the condition depicted in the image . How will the nurse chart this finding?

What nerve innervates the diaphragm?

The phrenic nerve innervates the diaphragm. Therefore a crushing spinal cord injury above the cervical plexuses, the level of phrenic nerve origin, results in respiratory paralysis. In a crushing spinal cord injury, both motor and sensory conduction are affected. A nurse finds a victim under the wreckage of a collapsed building.

How does intracranial pressure affect spinal shock?

Spinal shock is manifested by a decreased systolic blood pressure with no pupillary changes. Brain herniation is manifested by dilated pupils and severe posturing. Hypovolemic shock is indicated by a decrease in systolic pressure and tachycardia, with no changes in pupillary reaction.

Why does my spinal cord hurt?

Pain results because herniation of the nucleus pulposus into the spinal column irritates the spinal cord or the roots of spinal nerves.

What causes emotional instability?

If the client exhibits emotional instability, this usually is caused by lesions that affect the thalamic area in the part of the neural system most responsible for emotions. A client sustains a crushing injury of the spinal cord above the level of origin of the phrenic nerve.

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