A patient was admitted with possible head trauma after a motor vehicle accident. The nursing implementation with the highest priority is to:
auscultate lung and abdominal sounds.
check for verbal and motor response.
monitor daily weight.
monitor intake and output.
The Correct Answer is B
A. While auscultating lung and abdominal sounds is important, it is not as urgent as checking neurological function in a head trauma patient.
B. Assessing verbal and motor responses is critical to evaluate the level of consciousness and neurological function in a patient with head trauma.
C. Monitoring daily weight is not an immediate concern for a patient with possible head trauma.
D. Monitoring intake and output is important but not the priority compared to assessing the neurological status in head trauma patients.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While auscultating lung and abdominal sounds is important, it is not as urgent as checking neurological function in a head trauma patient.
B. Assessing verbal and motor responses is critical to evaluate the level of consciousness and neurological function in a patient with head trauma.
C. Monitoring daily weight is not an immediate concern for a patient with possible head trauma.
D. Monitoring intake and output is important but not the priority compared to assessing the neurological status in head trauma patients.
Correct Answer is ["A","B","C","D","E"]
Explanation
A. The frequency of pain is essential to understand how often the patient experiences pain.
B. Duration refers to how long the pain lasts, which is an important characteristic to document.
C. The location of pain helps determine its origin and the appropriate treatment approach.
D. The character of the pain, such as sharp, dull, or aching, aids in identifying its nature and cause.
E. The intensity of pain is crucial for assessing the effectiveness of pain management and guiding treatment decisions.
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