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?
"Yes, you can resume your normal activities as long as you wear a helmet."
"No, you should avoid any physical activity until your symptoms are completely gone."
"Maybe, you should consult your doctor first and follow their recommendations."
"I don't know, you should ask your coach or trainer what they think."
The Correct Answer is C
Choice A reason:
This is an incorrect answer. The nurse should not advise the client to resume their normal activities as long as they wear a helmet. A helmet does not prevent concussions from occurring and may give a false sense of security. The client should not return to sports or other physical activities until they are asymptomatic and cleared by their doctor.
Choice B reason:
This is an incorrect answer. The nurse should not advise the client to avoid any physical activity until their symptoms are completely gone. While the client should avoid strenuous or risky activities that could cause another concussion, they may be able to engage in some light or moderate activities that do not worsen their symptoms or increase their heart rate. The client should follow a gradual return-to-play protocol under the guidance of their doctor.
Choice C reason:
This is a correct answer. The nurse should advise the client to consult their doctor first and follow their recommendations. The doctor will evaluate the client's recovery and determine when it is safe for them to return to sports or other physical activities. The doctor will also provide a gradual return-to-play protocol that involves increasing the intensity and duration of activity over several days or weeks.
Choice D reason:
This is an incorrect answer. The nurse should not advise the client to ask their coach or trainer what they think. The coach or trainer may not be qualified or knowledgeable enough to assess the client's condition and readiness to return to sports or other physical activities. The client should rely on their doctor's advice and not on their coach's or trainer's opinion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
This is an incorrect answer. The client does not need immediate reporting if they have a GCS score of 15. This is the highest possible score on the GCS, which indicates that the client is fully alert and oriented.
Choice B reason:
This is a correct answer. The client needs immediate reporting if they have unequal pupils with a difference of 2 mm. This is an abnormal finding that indicates increased intracranial pressure (ICP) or cranial nerve damage, which can be life-threatening.
Choice C reason:
This is an incorrect answer. The client does not need immediate reporting if they have a positive Babinski reflex on both feet. This is a normal finding in infants and young children, but an abnormal finding in adults. However, it does not indicate an acute or urgent condition, but rather a chronic or long-term damage to the corticospinal tract.
Choice D reason:
This is an incorrect answer. The client does not need immediate reporting if they have difficulty performing finger-to-nose test. This is an abnormal finding that indicates cerebellar dysfunction, which affects coordination and balance. However, it does not indicate an acute or urgent condition, but rather a mild or moderate impairment.
Correct Answer is C
Explanation
Choice A reason:
This is an incorrect answer. The client does not need further teaching if they say they will take acetaminophen if they have a headache. Acetaminophen is a safe and effective medication for pain relief after a concussion. It does not increase the risk of bleeding or interfere with brain function.
Choice B reason:
This is an incorrect answer. The client does not need further teaching if they say they will avoid drinking alcohol or taking sleeping pills. Alcohol and sleeping pills can worsen the symptoms and recovery of a concussion. They can also mask the signs of worsening brain injury or increase the risk of falls or accidents.
Choice C reason:
This is a correct answer. The client needs further teaching if they say they will check their pupils every hour for any changes. Checking the pupils is not a reliable or accurate way to monitor the condition of a concussion. Pupil changes may not occur until late stages of brain injury or may be caused by other factors such as light exposure or medication use.
Choice D reason:
This is an incorrect answer. The client does not need further teaching if they say they will have someone stay with them for the next 24 hours. Having someone stay with them is a recommended precaution after a concussion. The person can observe the client for any signs of worsening brain injury such as confusion, vomiting, seizures, or loss of consciousness and call for help if needed.
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