What is a common expected finding in a client with an epidural hematoma?

In cases of an epidural hematoma, alternating periods of alertness and unconsciousness are a hallmark sign. This often occurs due to the nature of the injury, where there is a brief loss of consciousness following trauma, followed by a period of lucidity as the individual regains consciousness. However, as the hematoma expands and exerts pressure on the brain, the patient's condition can rapidly deteriorate, leading to another loss of consciousness. This pattern is characteristic of the "lucid interval" seen in many patients suffering from epidural hematomas, which occurs due to the dynamic changes in intracranial pressure and brain function.

The other options, while indicative of other conditions or complications, do not represent the typical presentation of an epidural hematoma. For instance, a constant state of confusion is more aligned with sustained brain injury rather than intermittent consciousness. Severe neck stiffness suggests the possibility of meningitis or other neurological issues unrelated to an epidural hematoma. Persistent headache without relief may occur but is less distinctively representative of an epidural hematoma than the pattern of altered consciousness.