A child is brought to the emergency department after sustaining a concussion. The child is to be discharged home with his parents. What would the nurse include in the child's discharge instructions?
A) "Expect his headache to get worse initially and then disappear."
B) "Wake him every 2 hours to check his movement and responses."
C) "Call your medical provider if he vomits more than five times."
D) "Any watery fluid draining from his ears is normal."
Ans: B
The nurse should instruct the parents to wake the child every 2 hours to ensure that he moves normally and wakes enough to recognize and respond appropriately to them. The parents should be instructed to call the physician or nurse practitioner or bring the child back to the emergency department if he experiences a constant headache that gets worse, vomits more than two times, or has oozing of blood or watery fluid from his ears or nose.
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