The student nurse is reviewing different types of health history. Which client situation would require an Emergency health history?

A client who has recently been diagnosed with a chronic illness.

A client with hypotension, tachycardia, SpO2 85%, and a recent gunshot wound.

A client who just confirmed she is pregnant.

A client who makes frequent hospital visits reporting the same symptom.

Answer and Explanation

The Correct Answer is B

Choice a reason:
A client recently diagnosed with a chronic illness would require a comprehensive health history that includes past medical history, medications, and lifestyle factors. While important, it is not typically categorized as an emergency health history unless the chronic condition has acutely worsened.

Choice b reason:
A client presenting with hypotension (low blood pressure), tachycardia (rapid heart rate), an oxygen saturation of 85% (indicating potential hypoxemia), and a recent gunshot wound is experiencing a life-threatening situation that requires immediate medical attention. An Emergency health history is crucial in this scenario to quickly gather information that will guide urgent treatment decisions.

Choice c reason:
A client who has just confirmed pregnancy would need a detailed health history, including obstetric and gynecological history, but this is not considered an emergency unless there are complications or concerns that require immediate attention.

Choice d reason:
A client who frequently visits the hospital reporting the same symptom may indicate a chronic issue that needs ongoing management rather than an emergency. However, if the symptom suggests an acute exacerbation or a new, serious condition, it could escalate to an emergency.

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Correct Answer is C

Explanation

Choice A Reason:
While falls are a common cause of injury in children, they are not the leading cause of TBI in adolescents. Falls tend to be more frequent in the younger population, particularly in children under the age of 4. In adolescents, sports-related injuries and motor vehicle accidents are more prevalent causes of TBI.

Choice B Reason:
The statement that females have twice the risk of TBI compared to males is incorrect. National data reveal that males are at increased risk of TBI compared to females, especially in the adolescent age group. This is likely due to higher engagement in risk-taking behaviors and contact sports.

Choice C Reason:
Concussions in sports and motor vehicle accidents are indeed the leading causes of TBI in adolescents. Engaging in contact sports such as football, hockey, and soccer can lead to concussions, which are a form of mild TBI. Motor vehicle accidents are also a significant risk factor due to high-impact collisions that can cause head injuries.

Choice D Reason:
Firearm incidents are a serious concern for TBI; however, they are not the most common cause of TBI in adolescents. While firearm-related injuries can be severe and are a leading cause of TBI-related deaths, concussions from sports and motor vehicle accidents account for a larger number of non-fatal TBIs in this age group.

A. Wear nonslip shoes in the house. B. Use of guns should be supervised by an adult. C. Always use seat belts. D. Avoid risky activities such as snowboarding.

Correct Answer is ["A","B","C","D"]

Explanation

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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The student nurse is reviewing different types of health history. Which client situation would require an Emergency health history?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which risk factor for traumatic brain injury (TBI) should a nurse include in a discussion about prevention for a group of adolescents?

Correct Answer is C

Explanation

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

Correct Answer is ["A","B","C","D"]

Explanation

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