Which of the Following Findings Require Immediate Nursing Interventions in a Patient

question 30

Multiple Choice

Which of the following findings require immediate nursing interventions in a patient with a traumatic brain injury?

• A) Mean arterial pressure 48 mm Hg
• B) Elevated serum blood alcohol level
• C) Nonreactive pupils
• D) Respiratory rate of 10 breaths/min
• E) Open skull fracture

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Definitions:

Arousal Approach

a theory in psychology that focuses on how arousal levels affect performance, suggesting an optimal level of arousal for peak performance depending on the task complexity.

William McDougall

A psychologist known for his work on instinct theory and social psychology, advocating for the inclusion of innate tendencies in explaining behavior.

Human Instincts

Innate, biologically determined behaviors that are present at birth, driving individuals towards certain actions or responses without the need for learning, such as the instinct for survival.

Extrinsic Motivation

Motivation that is driven by external rewards such as money, fame, grades, or praise rather than internal factors.