A nurse is caring for a client who sustained a concussion after falling from a ladder. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.)

Monitor the client's Glasgow Coma Scale (GCS) score

Administer acetaminophen for pain relief

Encourage the client to rest in a dark and quiet room

Provide stimulating activities such as puzzles and games

Educate the client about the signs of post-concussion syndrome

Answer and Explanation

Correct Answer : A,B,C,E

Choice A reason:

This is a correct answer. Monitoring the client's GCS score helps to assess the level of consciousness and neurological function after a concussion. The GCS score ranges from 3 to 15, with lower scores indicating more severe brain injury.

Choice B reason:

This is a correct answer. Administering acetaminophen for pain relief helps to reduce headache and discomfort after a concussion. Acetaminophen is preferred over nonsteroidal anti-inflammatory drugs (NSAIDs) or aspirin, which can increase the risk of bleeding.

Choice C reason:

This is a correct answer. Encouraging the client to rest in a dark and quiet room helps to promote healing and recovery after a concussion. Rest includes physical and mental rest, which means avoiding strenuous activities, sports, driving, work, school, or screen time until symptoms resolve.

Choice D reason:

This is an incorrect answer. Providing stimulating activities such as puzzles and games can worsen symptoms and delay recovery after a concussion. The client should avoid cognitive tasks that require concentration, attention, or memory until cleared by a health care provider.

Choice E reason:

This is a correct answer. Educating the client about the signs of post-concussion syndrome helps to prepare them for possible complications and when to seek medical attention. Post-concussion syndrome is a condition in which symptoms persist for weeks or months after a concussion. Symptoms may include headache, dizziness, fatigue, insomnia, anxiety, depression, or cognitive impairment.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["A","B","D","E"]

Explanation

Choice A reason:

This is a correct answer. Wearing appropriate protective equipment such as helmets and mouth guards helps to reduce the risk and severity of concussion by absorbing some of the impact force and protecting the head and teeth from injury.

Choice B reason:

This is a correct answer. Reporting any symptoms of concussion to the coach or trainer immediately helps to ensure proper diagnosis and treatment of concussion by a health care provider. Symptoms may include headache, dizziness, nausea, vomiting, confusion, memory loss, blurred vision, or sensitivity to light or noise.

Choice C reason:

This is an incorrect answer. Seeking medical attention if symptoms persist for more than 24 hours is not enough for concussion management. The nurse should advise the athletes to seek medical attention as soon as possible after a suspected concussion, regardless of how long the symptoms last or how severe they are.

Choice D reason:

This is a correct answer. Taking a baseline cognitive test before the season starts helps to establish a reference point for comparison after a concussion. A cognitive test measures mental functions such as memory, attention, reaction time, and problem-solving.

Choice E reason:

This is a correct answer. Drinking plenty of fluids and eating a balanced diet after a concussion helps to promote healing and recovery by providing hydration and nutrition to the brain and body.

A. Frequent headaches B. Memory loss C. Personality changes D. All of the above

Correct Answer is D

Explanation

Choice A reason:

This is a correct answer. Frequent headaches are a common symptom of CTE, which is a progressive degenerative brain disease caused by repeated head trauma. Headaches may be triggered by physical or mental exertion, stress, or noise.

Choice B reason:

This is a correct answer. Memory loss is another common symptom of CTE, which affects the areas of the brain responsible for learning and recall. Memory loss may manifest as difficulty remembering names, dates, events, or conversations.

Choice C reason:

This is a correct answer. Personality changes are also a common symptom of CTE, which affects the areas of the brain responsible for mood and behavior. Personality changes may include irritability, aggression, depression, anxiety, impulsivity, or apathy.

Choice D reason:

This is a correct answer. All of the above are possible symptoms of CTE, which can vary in severity and onset depending on the individual and the extent of brain damage. Other possible symptoms include confusion, cognitive impairment, speech problems, vision problems, balance problems, motor problems, or suicidal thoughts.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a client who sustained a concussion after falling from a ladder. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to a group of high school athletes about concussion prevention and management. Which of the following information should the nurse include in the teaching? (Select all that apply.)

Correct Answer is ["A","B","D","E"]

Explanation

A nurse is assessing a client who has a history of multiple concussions. Which of the following findings should alert the nurse to the possibility of chronic traumatic encephalopathy (CTE)?

Correct Answer is D

Explanation

A nurse is preparing to discharge a client who had a concussion from the emergency department. Which of the following instructions should the nurse include in the discharge teaching?

A nurse is evaluating the effectiveness of the education provided to a client who had a concussion. Which of the following statements by the client indicates a need for further teaching?

A nurse is caring for a client who has a concussion and reports nausea and vomiting. Which of the following actions should the nurse take first?

A nurse is performing a neurological assessment on a client who has a concussion. Which of the following findings should the nurse report to the provider immediately?

A nurse is reviewing discharge instructions with a client who had a concussion two days ago. The client says to the nurse, "I feel fine now. Can I go back to playing soccer tomorrow?" How should the nurse respond?

A nurse is caring for a client who sustained a concussion after falling from a ladder. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.)