A nurse is collecting data from a child who recently experienced a psychomotor seizure.
Which of the following findings should the nurse expect?"

Rationale:

A) Insomnia is a sleep disorder and is not typically associated with head injuries unless there is a concurrent neurological complication.

B) Irritability can be a sign of increased intracranial pressure following a head injury and should be promptly reported for further evaluation.

C) Diarrhea is not a common manifestation of head injuries and would not typically be included in monitoring and reporting instructions.

D) Hypothermia is not typically associated with head injuries unless there is a severe injury with shock, and it is not a common manifestation requiring monitoring in the acute phase of head injury.

Rationale:

A) Pertussis is spread via respiratory droplets, so droplet precautions should be initiated.

B) Contact precautions are used for diseases transmitted by direct contact with the patient or their environment, not for pertussis.

C) Airborne precautions are used for diseases transmitted by airborne particles, such as tuberculosis or measles, not for pertussis.

D) Protective precautions are not a standard precaution type; they involve protecting immunocompromised patients from acquiring infections.