When Assessing a Patient with a Head Injury, the Nurse

question 8

Multiple Choice

When assessing a patient with a head injury, the nurse recognizes that the earliest indication of increased intracranial pressure (ICP) is

• A) vomiting.
• B) headache.
• C) change in level of consciousness (LOC).
• D) sluggish pupil response to light.

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Definitions:

ATP Synthases

A complex of enzymes found in the mitochondria and chloroplasts that produce ATP, the primary energy carrier in cells, using a proton gradient.

Mitochondrial Inner Membrane

The innermost membrane of the mitochondria, critical for energy production through the electron transport chain and ATP synthesis.

Hydrogen Ions

Positively charged ions (protons) formed when hydrogen atoms lose their electrons. They play key roles in chemical reactions and pH balance.

Mitochondrial Matrix

The innermost compartment of the mitochondrion, enclosed by the inner membrane, containing enzymes, DNA, and ribosomes for energy production.