The Nurse Is Caring for a Severely Head Injured Comatose

Multiple Choice

The nurse is caring for a severely head injured comatose patient who is dying.The practitioner asks to be notified when the patient starts to exhibit signs of Cushing reflex.The nurse would call the practitioner when the patient starts to show what signs?

A) Bradycardia, systolic hypertension, and widening pulse pressure
B) Tachycardia, systolic hypotension, and tachypnea
C) Headache, nuchal rigidity, and hyperthermia
D) Bradycardia, aphasia, and visual field disturbances