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?

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.

Choice A reason:

This is an incorrect answer. Administering antiemetic medication as prescribed is an appropriate action for the nurse to take, but not the first one. The nurse should first assess the client's neurological status, as nausea and vomiting can be signs of increased intracranial pressure (ICP) or worsening brain injury.

Choice B reason:

This is a correct answer. Assessing the client's level of consciousness and orientation is the first action that the nurse should take when caring for a client who has a concussion and reports nausea and vomiting. The nurse should use tools such as the Glasgow Coma Scale (GCS) or the Alert, Verbal, Painful, Unresponsive (AVPU) scale to evaluate the client's neurological function and identify any changes or deterioration.

Choice C reason:

This is an incorrect answer. Providing oral fluids and crackers to the client is not an appropriate action for the nurse to take, especially not the first one. The nurse should avoid giving anything by mouth to the client who has nausea and vomiting, as this can increase the risk of aspiration or dehydration.

Choice D reason:

This is an incorrect answer. Notifying the provider of the client's condition is an important action for the nurse to take, but not the first one. The nurse should first assess the client's neurological status and gather relevant data before reporting to the provider.