A nurse is caring for a child who has been diagnosed with a concussion. Which of the following findings should the nurse identify as causing this type of injury?
A deep wound that caused external bleeding on the head and face
Trauma from contact sports that caused the brain to twist or bounce against the skull
A blow to the head that caused diffuse bleeding between the skull and brain
A fall that caused blood from a ruptured artery to pool in the brain
The Correct Answer is B
A. A deep wound causing external bleeding does not describe a concussion, which involves a brain injury due to trauma, not a superficial wound.
B. A concussion is a mild traumatic brain injury caused by a blow to the head or trauma that causes the brain to twist or bounce inside the skull. This movement can lead to temporary neurological impairment.
C. Bleeding between the skull and brain (epidural hematoma or subdural hematoma) is associated with more severe traumatic brain injuries, not a concussion.
D. A ruptured artery leading to pooling of blood in the brain is more characteristic of an intracerebral hemorrhage or a severe head injury, not a concussion.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. An inguinal hernia occurs when digestive fluids leak from the bowel, causing swelling that results in a bulge in the groin is incorrect. An inguinal hernia involves a protrusion of bowel or fatty tissue through a weakness in the abdominal wall, not digestive fluids leaking from the bowel.
B. An inguinal hernia occurs when a viral infection weakens the intestine, allowing the bowel to herniate into the groin is incorrect. Inguinal hernias are congenital or result from increased intra-abdominal pressure, not caused by viral infections.
C. An inguinal hernia occurs when a part of the bowel or fatty tissue slips through a weak spot in the abdominal cavity near the groin is correct. Inguinal hernias occur when tissue, usually part of the intestine or fatty tissue, pushes through a weak area in the abdominal wall near the groin. This condition is common in infants and children.
D. An inguinal hernia occurs when an accumulation of excess gas in the abdominal cavity results in a bulge in the groin is incorrect. While excess gas can cause bloating or discomfort, it is not responsible for the development of an inguinal hernia. The bulge is caused by the protrusion of tissue through a weakness in the abdominal wall.
Correct Answer is A
Explanation
A. Placing the client on their side is the correct action to prevent aspiration and help keep the airway open during a seizure. It also helps drain secretions and can reduce the risk of choking.
B. Holding the client's arms and legs is not recommended during a seizure because this can lead to injury to the client and the nurse. Seizure activity should be allowed to run its course in a safe environment.
C. Placing the client back in bed during a seizure could be dangerous, as it is better to keep the client safe on the floor to prevent falling or injury. The priority is ensuring the client’s safety during the seizure rather than moving them back into bed.
D. Inserting a tongue blade in the client's mouth is an outdated practice and can lead to injury or even cause the client to bite down on the tongue blade. There is no need to insert anything into the mouth during a seizure.
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