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. Administer antipyretic therapy is appropriate to help reduce fever, but it is not the first priority. The child’s vital signs indicate a high fever and signs of possible meningitis, and intervention to prevent further complications or the spread of infection should take precedence.
B. Place the child in a lateral Sims position is unnecessary in this case. A lateral Sims position is typically used to prevent aspiration during vomiting, but it is not the priority for this child. The focus should be on infection control and stabilizing the child’s condition.
C. Place the child on droplet precautions is the correct priority. The child is showing signs of possible bacterial meningitis, which is a highly contagious infection. Droplet precautions are necessary to prevent transmission of the infection to other individuals.
D. Reduce all environmental stimuli may be helpful for a child with a neurological condition, but it is not the first priority in this case. The priority is preventing the spread of infection while further stabilizing the child’s condition.
Correct Answer is C
Explanation
A. White rice is typically recommended during diarrhea as it is easy to digest and helps bind stools. It is part of the BRAT diet (bananas, rice, applesauce, toast), which is often advised during gastrointestinal upset.
B. Applesauce is also commonly recommended as part of the BRAT diet during diarrhea. It is gentle on the stomach and can help firm up stools.
C. Fruit juice should be avoided during diarrhea. It contains high levels of sugar and can worsen diarrhea by increasing the osmotic load in the intestines, potentially leading to more fluid loss.
D. Bananas are a good option during diarrhea as they are gentle on the stomach, provide potassium, and help bind stools. They are also part of the BRAT diet, which is often recommended for children with diarrhea.
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