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.)
Wear appropriate protective equipment such as helmets and mouth guards
Report any symptoms of concussion to the coach or trainer immediately
Seek medical attention if symptoms persist for more than 24 hours
Take a baseline cognitive test before the season starts
Drink plenty of fluids and eat a balanced diet after a concussion
Correct Answer : A,B,D,E
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.
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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.
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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