What is considered a mild brain injury, unless the injury occurs repeatedly?

Concussion

Brainstem contusion

Subdural hematoma

Epidural hematoma

Answer and Explanation

The Correct Answer is A

A. A concussion is considered a mild traumatic brain injury (TBI) that typically results in a temporary loss of brain function. It is often caused by a blow to the head and may result in confusion, dizziness, and loss of consciousness. However, if concussions occur repeatedly, they can lead to long-term cognitive impairment and other serious conditions like chronic traumatic encephalopathy (CTE).

B. A brainstem contusion is a more severe injury that affects the brainstem, which controls vital functions like breathing and heart rate. It is not classified as a mild injury.

C. A subdural hematoma is a collection of blood between the brain and its outermost covering. It is a serious condition that can result from a traumatic brain injury and is not considered mild.

D. An epidural hematoma is a collection of blood between the skull and the dura mater. It is often caused by a traumatic head injury and is considered a medical emergency, not a mild injury.

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Correct Answer is B

Explanation

A. Limiting the client's physical activity is not recommended for clients with Parkinson's disease. Physical activity, including exercises to improve strength, balance, and flexibility, is essential to manage symptoms and maintain mobility.

B. Providing the client a cane is appropriate. A cane can help with balance and stability, especially as the client experiences motor symptoms such as rigidity and bradykinesia. It can reduce the risk of falls.

C. Offering the client 3 large meals a day is not ideal. Smaller, more frequent meals are recommended for clients with Parkinson's disease, as they may experience difficulty swallowing, digestion issues, or a reduced appetite.

D. Speaking loudly to the client is not necessary unless the client has difficulty hearing. It is more important to speak clearly and at a normal volume, as clients with Parkinson's disease may have issues with speech (e.g., soft or slurred speech).

A. Assist the client to sit upright in a chair for 4 hr at a time. B. Expect clear drainage on the spinal dressing. C. Elevate the client's legs when he is lying on his side. D. Log roll the client every 2 hr.

Correct Answer is D

Explanation

A. The client should not sit upright in a chair for prolonged periods (such as 4 hours at a time) immediately following spinal fusion, as this could place excessive strain on the surgical site. The client should be assisted to sit upright for short periods and be repositioned regularly.

B. Clear drainage on the spinal dressing could indicate cerebrospinal fluid leakage, which is a concern following spinal surgery. The nurse should expect minimal to no drainage, and if clear fluid is observed, it should be reported immediately.

C. Elevating the client's legs when lying on his side may not be necessary unless specifically ordered by the healthcare provider. In general, the client should maintain proper body alignment and avoid any positions that strain the surgical site.

D. Log rolling is a critical intervention for spinal fusion patients to prevent twisting of the spine. The nurse should assist the client in log rolling every 2 hours to maintain spinal alignment and prevent injury to the surgical site.

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What is considered a mild brain injury, unless the injury occurs repeatedly?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching to the family of a client who has Parkinson's disease. Which of the following instructions should the nurse include?

Correct Answer is B

Explanation

A nurse is assisting with the plan of care for a client who is 1 day postoperative following spinal fusion. Which of the following interventions should the nurse include in the plan?

Correct Answer is D

Explanation

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What is considered a mild brain injury, unless the injury occurs repeatedly?

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