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?

Return to work or school as soon as possible

Avoid driving or operating machinery until cleared by the provider

Resume sports or physical activities within a week

Take ibuprofen or aspirin for pain relief

Answer and Explanation

The Correct Answer is B

Choice A reason:

This is an incorrect answer. The nurse should not instruct the client to return to work or school as soon as possible after a concussion. The client should rest and avoid cognitive tasks that require concentration, attention, or memory until their symptoms resolve and they are cleared by their provider.

Choice B reason:

This is a correct answer. The nurse should instruct the client to avoid driving or operating machinery until cleared by the provider after a concussion. Driving or operating machinery can be dangerous and impairing for the client who may have symptoms such as headache, dizziness, fatigue, blurred vision, or slowed reaction time.

Choice C reason:

This is an incorrect answer. The nurse should not instruct the client to resume sports or physical activities within a week after a concussion. The client should avoid strenuous or risky activities that could cause another concussion or worsen their symptoms until they are asymptomatic and cleared by their provider.

Choice D reason:

This is an incorrect answer. The nurse should not instruct the client to take ibuprofen or aspirin for pain relief after a concussion. Ibuprofen and aspirin are nonsteroidal anti-inflammatory drugs (NSAIDs) that can increase the risk of bleeding in the brain or interfere with blood clotting.

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Correct Answer is B

Explanation

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.

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.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

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 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.)

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 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 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.)

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