If a person is discovered injured and in need of medical care, if there is concern for a brain injury, what should be done to prevent further neurolog injury?
Move the person immediately to a more comfortable location.
Administer pain medication to alleviate discomfort.
Keep the person still and call for medical assistance.
Perform head rotations to test range of motion.
The Correct Answer is C
A. Move the person immediately to a more comfortable location – Moving a person with a suspected brain or spinal injury can worsen the injury, especially if there’s a cervical spine injury.
B. Administer pain medication to alleviate discomfort –Pain meds should only be given under medical supervision after evaluation, as they can mask symptoms or interfere with assessment.
C. Keep the person still and call for medical assistance –. Immobilization is critical to prevent worsening of a possible spinal or brain injury. Emergency medical services should evaluate and transport the person safely.
D. Perform head rotations to test range of motion –This can cause serious or irreversible damage if a cervical spine injury is present.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Weight should be measured consistently at the same time each day, ideally in the morning before eating, to accurately monitor fluid retention; subtracting food weight is not practical or accurate.
B. Gradual increase in activity is important for clients with heart failure, as long as it does not cause shortness of breath (dyspnea). This helps improve functional capacity safely.
C. A weight loss of 0.1 kg (1 lb) is not usually concerning; rapid weight gain (e.g., 2-3 pounds in a day or 5 pounds in a week) is more significant and should be reported.
D. Consistency in timing and frequency of weighing is critical; daily weighing at the same time helps detect fluid retention early.
Correct Answer is A
Explanation
A. Mannitol is an osmotic diuretic used to reduce increased intracranial pressure, which is critical in managing Cushing’s Triad.
B. Heparin is an anticoagulant and would worsen bleeding in a subdural hematoma.
C. Warfarin is also an anticoagulant and contraindicated in bleeding.
D. Acyclovir is an antiviral, not relevant to treating increased ICP from hematoma.
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