Which Assessment Finding Indicates a Need for Immediate Intervention Following

question 7

Multiple Choice

Which assessment finding indicates a need for immediate intervention following a brain stem injury? (Select all that apply.)

• A) Cheyne-Stokes breathing
• B) Decerebrate positioning
• C) Loss of pupillary response to light
• D) Combative, aggressive behaviors
• E) Asymmetric response to pain stimuli

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Definitions:

Sleep Quality

An assessment of how well one sleeps, including factors such as duration, restfulness, and frequency of awakenings.

Visual Analogue Scale

A measurement instrument that attempts to measure a characteristic or attitude that is believed to range across a continuum of values and cannot easily be directly measured.

Sleep Apnea

A sleep disorder characterized by pauses in breathing or shallow breaths during sleep, leading to poor sleep quality and other health issues.

Muscle Control

The ability to direct and regulate muscle movement, essential for coordinating physical actions and maintaining posture.