Chapter 68: Management of Patients With Neurologic Trauma 1
vomits
A client has been diagnosed with a concussion and is to be released from the emergency department. The nurse teaches the family or friends who will be caring for the client to contact the physician or return to the ED if the client
Verbal response Eye opening Motor response
Level of consciousness (LOC) can be assessed based on criteria in the Glasgow Coma Scale (GCS). Which of the following indicators are assessed in the GCS? Select all that apply.
Motor vehicle crashes
Which is the most common cause of spinal cord injury (SCI)?
Pupils are showing progressive dilation.
Which of the following is a clinical manifestation of pupillary changes that indicate increasing ICP?
Subdural
Which of the following types of hematoma results from venous bleeding with blood gradually accumulating in the space below the dura?
It results from initial damage to the brain from the traumatic event.
The nurse working on a neurological unit is mentoring a nursing student. The student asks about a client who has sustained a primary and and secondary brain injury. The nurse correctly tells the student which of the following, related to the primary injury?
Subdural hematoma
Which condition occurs when blood collects between the dura mater and arachnoid membrane?
The client with a basilar fracture
The intensive care unit has four clients received from a violent motor vehicle accident. When assessing the clients, which client would the nurse assess first?
An area of bruising over the mastoid bone
The nurse reviews the physician's emergency department progress notes for the client who sustained a head injury and sees that the physician observed the Battle sign. The nurse knows that the physician observed which clinical manifestation?
30-degree head elevation
When planning care for a client with a head injury, which position should the nurse include in the care plan to enhance client outcomes?