一位頭部受傷病人，護理師進行神經學評估。下列哪些發現代表潛在的神經功能惡化？（選所有適合的）
A nurse is performing a neurological assessment on a client following a head injury. Which findings indicate potential neurological decline? (Select all that apply.)
- ADecrease in Glasgow Coma Scale (GCS) score✓ 正解格拉斯哥昏迷指數 (GCS) 分數下降
- BPupils becoming unequal in size✓ 正解瞳孔大小變得不等
- CIncreased response to painful stimuli對疼痛刺激的反應增加
- DDevelopment of Cushing's triad✓ 正解出現庫欣氏三徵
- EClear, watery drainage from the nose✓ 正解鼻腔出現清澈水樣分泌物
頭部外傷後的監測重點在於『早期發現神經功能惡化』。GCS 分數下降代表意識水平降低，瞳孔不等大暗示腦疝（Brain herniation）風險，庫欣氏三徵（Cushing's triad）顯示嚴重顱內壓升高，鼻漏（Rhinorrhea）則可能暗示顱底骨折導致腦脊髓液（CSF）滲漏。這些均為需立即介入的臨床警訊。
The focus of monitoring after head trauma is the early detection of neurological deterioration. A decrease in GCS score indicates a decline in level of consciousness; unequal pupils suggest a risk of brain herniation; Cushing's triad indicates severely elevated intracranial pressure; and rhinorrhea may suggest a basal skull fracture with leakage of cerebrospinal fluid (CSF). All of these are clinical warning signs requiring immediate intervention.