The nurse is planning to instruct a group of adolescents on ways to prevent traumatic brain injuries. What should be included in these instructions?

Wear nonslip shoes in the house.

Use of guns should be supervised by an adult.

Always use seat belts.

Avoid risky activities such as snowboarding.

Answer and Explanation

Correct Answer : A,B,C,D

Choice a reason:
Wearing nonslip shoes in the house can prevent falls, which are a common cause of traumatic brain injuries (TBIs) in adolescents. Falls often occur due to slippery surfaces, and nonslip shoes provide better traction, reducing the risk of such accidents.
Choice b reason:
Supervised use of guns by an adult is crucial to prevent accidental shootings, which can result in TBIs or even more severe outcomes. Adolescents may not fully understand the risks associated with handling firearms, and adult supervision ensures that safety measures are followed.
Choice c reason:
The consistent use of seat belts in vehicles is one of the most effective ways to prevent TBIs during car accidents. Seat belts keep occupants from being ejected or hitting the interior of the car, significantly reducing the risk of head injuries.
Choice d reason:
Avoiding risky activities such as snowboarding without proper safety measures can prevent sports-related TBIs. While snowboarding, wearing a helmet and other protective gear is essential to protect the head during falls or collisions.

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Correct Answer is A

Explanation

Choice A Reason:
This approach is recommended as it allows for a systematic comparison between the two sides of the chest. Percussion should start at the apices of the lungs, which are located just above the clavicles, and proceed downwards. This method ensures that any differences in percussion note, which could indicate underlying pathology, are identified by direct comparison.

Choice B Reason:
While this approach also involves a systematic assessment, it does not allow for immediate comparison between the two sides of the chest. It is important to compare corresponding areas on each side as you go to detect any asymmetry or changes in resonance.

Choice C Reason:
This method, similar to choice B, does not facilitate immediate side-to-side comparison during the assessment. Immediate comparison is crucial for identifying subtle differences that may indicate conditions such as pleural effusion or pneumothorax.

Choice D Reason:
Starting the percussion above the left clavicle and moving to the right chest after completing the left side does not allow for direct comparison of symmetrical chest areas. Additionally, assessing the right chest moving upward from the liver is not a standard practice, as the liver dullness can interfere with the percussion of the lower right lung fields.

A. Vertigo B. Rhinorrhea C. Fever D. Headache

Correct Answer is A

Explanation

Choice A Reason:
Vertigo is a common complication associated with inner ear infections, such as labyrinthitis or vestibular neuritis. The inner ear is responsible for balance, and when it is infected, it can lead to a sensation of spinning or dizziness. Interventions may include medications like meclizine or dimenhydrinate to alleviate symptoms, as well as safety measures to prevent falls.

Choice B Reason:
Rhinorrhea, or a runny nose, is not typically a direct complication of an inner ear infection. It may be associated with upper respiratory infections that can precede or accompany an ear infection but is not a result of the inner ear infection itself.

Choice C Reason:
Fever may be present if the inner ear infection is part of a systemic infection, such as the flu or bacterial meningitis. However, fever is not a direct result of an isolated inner ear infection. If fever is present, the nurse should monitor the patient's temperature and may administer antipyretics as ordered.

Choice D Reason:
Headache can be a symptom experienced by individuals with inner ear infections due to the general discomfort and pressure changes in the ear. However, it is not as specific or as common as vertigo when it comes to inner ear infections. If headaches are present, pain management strategies can be included in the care plan.

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The nurse is planning to instruct a group of adolescents on ways to prevent traumatic brain injuries. What should be included in these instructions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing to percuss a client's anterior chest area. Which approach will the nurse use for this assessment?

Correct Answer is A

Explanation

When planning care for a client with an inner ear infection, the nurse will need to include interventions for which of the following potential problems?

Correct Answer is A

Explanation

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The nurse is planning to instruct a group of adolescents on ways to prevent traumatic brain injuries. What should be included in these instructions?

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A nurse is performing a respiratory physical examination on a healthy patient. When performing the percussion physical assessment technique, the lung percussion note should be: