A nurse is planning to reinforce teaching about head injuries with a group of parents of school-age children. The nurse should instruct the parents to monitor for and report which of the following manifestations?
Insomnia
Irritability
Diarrhea
Hypothermia
The Correct Answer is B
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A) Providing pain medication on a schedule helps maintain comfort and manage pain effectively in a terminally ill adolescent.
B) Limiting visits from siblings may not be necessary unless the adolescent prefers limited visitors or the siblings are unwell.
C) The parent's presence should be based on their preferences and the adolescent's needs, rather than leaving solely when the child needs to rest.
D) The decision to allow the child to die at home should be based on the family's preferences, the adolescent's wishes, and the availability of appropriate support and resources.
Correct Answer is C
Explanation
Rationale:
A) Watching TV before bed can be stimulating and disrupt sleep patterns.
B) Allowing the child to fall asleep in the parent's bed and then moving them to their own bed can create dependency and disrupt sleep patterns.
C) This statement shows that the parent understands the importance of hydration and avoiding caffeine or sugar before bed.
D) Eating dinner too close to bedtime can cause indigestion, reflux or nightmares and also disrupts the child’s metabolism.
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