Following an injury where a child hit his head from a fall, the CT scan reveals a contusion that the doctor classifies as a moderate brain injury
Which of the following manifestations will the nurse more than likely assess on this child that support this diagnosis? Select all that apply.
A)
Coma with total paralysis
B)
Periods of unconsciousness
C)
Aphasia at times
D)
Nuchal rigidity
E)
Weakness or slight paralysis affecting one side of the body
Ans:
B, C, E
Feedback:
Moderate brain injury is characterized by a period of unconsciousness and may be associated with focal manifestations such as hemiparesis (weakness or slight paralysis affecting one side of the body), aphasia, and cranial nerve palsy. Coma with total paralysis is seen in severe brain injury. Nuchal rigidity is a classic sign of meningitis.
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