What would you advise the patient and family to do when discharging patient home following a head injury?
Return to hospital immediately if patient is having severe headache or vomiting
Return to hospital immediately for changes in level of consciousness
Call ambulance if unable to arouse patient
All of the above
The Correct Answer is D
Choice A: Return to hospital immediately if patient is having severe headache or vomiting is correct because it can indicate increased intracranial pressure, bleeding, swelling, or infection in the brain. These are serious complications that can cause permanent damage or death. The patient and family should seek medical atention as soon as possible and not wait for other symptoms to appear.
Choice B: Return to hospital immediately for changes in level of consciousness is correct because it can also indicate worsening brain injury or complications from a head injury. Changes in level of consciousness can include confusion, drowsiness, agitation, or loss of awareness. The patient and family should monitor the patient's mental status and alertness and report any changes to the doctor.
Choice C: Call ambulance if unable to arouse patient is correct because it can mean that the patient has lost consciousness or is in a coma. This is a medical emergency that requires immediate intervention and resuscitation. The patient and family should not atempt to move or transport the patient by themselves but call for professional help.
Choice D: All of the above are correct because they are important instructions for the patient and family to follow when discharging patient home following a head injury. They can help prevent further harm or complications and ensure prompt treatment and recovery. The nurse should educate the patient and family about these instructions and provide them with writen information and contact numbers.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A: Loss of motor neurons in the brain is not a complete definition of ALS, as it does not include the loss of motor neurons in the spinal cord and brainstem.
Choice B: Loss of sensory neurons in the anterior horn of the spinal cord is not a correct definition of ALS, as it involves sensory neurons, not motor neurons.
Choice C: Loss of motor neurons in the anterior horn of the spinal cord and loss of motor nuclei of the lower brainstem is a correct definition of ALS, as it describes the progressive degeneration and death of both upper and lower motor neurons that control voluntary muscle movements²⁴.
Choice D: All of the above is not correct, as only choice C is a correct definition of ALS.
Correct Answer is C
Explanation
Choice A: Nutrition supplements is not a direct intervention for maintaining skin integrity, but rather a general measure to support the patient's overall health and healing.
Choice B: Consulting speech therapy is not relevant for maintaining skin integrity, but rather for addressing the patient's communication and swallowing needs.
Choice C: Assessing the skin and frequent repositioning is a correct intervention for maintaining skin integrity, as it can prevent pressure ulcers or bedsores by reducing friction, shear, and moisture on the skin.
Choice D: Ambulating the patient as much as possible is not a specific intervention for maintaining skin integrity, but rather a general measure to promote the patient's mobility and circulation.
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