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

Answer and Explanation

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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Correct Answer is A

Explanation

A. This statement is incorrect because processed foods can contain gluten even if they don't have visible flour. Gluten can be found in many processed foods as an additive or stabilizer, such as in sauces, soups, and processed meats. It's important to always check food labels for gluten ingredients.

B. This is correct. Barley and rye are sources of gluten and must be avoided in a gluten-free diet for those with celiac disease.

C. This is correct. Foods like bread, pasta, and cereal commonly contain gluten and need to be avoided by individuals with celiac disease.

D. This is correct. Using separate serving utensils for gluten-free foods helps prevent cross-contamination, which is critical for managing celiac disease.

A. Notify the adolescent's primary care provider. B. Collect a detailed past medical history. C. Perform a thorough assessment noting acute conditions D. Administer pain medication to the adolescent.

Correct Answer is C

Explanation

A. Notify the adolescent's primary care provider is incorrect. While it is important to notify the healthcare provider, the immediate priority is performing a thorough assessment to determine the severity of the head injury and any potential complications, such as changes in consciousness or neurological status.

B. Collect a detailed past medical history is incorrect. Although collecting medical history is important, it is not the priority in the acute phase of a suspected head injury. The priority is to assess the current condition of the adolescent, especially signs of deterioration.

C. Perform a thorough assessment noting acute conditions is correct. The priority in suspected head injuries is to perform a thorough assessment to evaluate the patient's neurological status. This includes checking for signs of a concussion, increased intracranial pressure, or any other acute conditions that may require immediate intervention.

D. Administer pain medication to the adolescent is incorrect. Pain management is important, but it should not be the first action when a head injury is suspected, as it can mask symptoms or affect the ability to assess neurological function properly.

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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?

Nursing Test Bank

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