A toddler fell out of a second-story window. She had brief loss of consciousness and vomited four times
Since admission, she has been alert and oriented. Her mother asks why a computed tomography (CT) scan is required when she "seems fine." The nurse should explain that the toddler:
a. May have a brain injury. c. May start having seizures.
b. Needs this because of her age. d. Probably has a skull fracture.
ANS: A
The child's history of the fall, brief loss of consciousness, and vomiting four times necessitate evaluation of a potential brain injury. The severity of a head injury may not be apparent on clinical examination but will be detectable on a CT scan. The need for the CT scan is related to the injury and symptoms, not the child's age, and is necessary to determine whether a brain injury has occurred.
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