A nurse is dismissing a client from the emergency department who has a mild traumatic brain injury. What information obtained from the client represents a possible barrier to self-management? (Select all that apply.)
a. Does not want to purchase a thermometer
b. Is allergic to acetaminophen (Tylenol)
c. Laughing, says "Strenuous? What's that?"
d. Lives alone and is new in town with no friends
e. Plans to have a beer and go to bed once home
ANS: B, D, E
Clients should take acetaminophen for headache. An allergy to this drug may mean the client takes aspirin or ibuprofen (Motrin), which should be avoided. The client needs neurologic checks every 1 to 2 hours, and this client does not seem to have anyone available who can do that. Alcohol needs to be avoided for at least 24 hours. A thermometer is not needed. The client laughing at strenuous activity probably does not engage in any kind of strenuous activity, but the nurse should confirm this.
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