When the seriousness of craniocerebral trauma is assessed, it is important to remember that
a. heavy scalp bleeding indicates serious trauma.
b. open injuries are always more serious than closed injuries.
c. signs and symptoms may not occur until several days after the trauma.
d. trauma to the frontal lobe is more significant than to any other area.
C
If a patient who has been conscious for several days after head injury loses consciousness or develops neurological signs and symptoms, a subdural hematoma should be suspected.
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1. Seizures. 2. Bradycardia. 3. Respiratory distress. 4. Hyperthermia.
A 20-year-old college student arrives at the student health center during finals week complaining of "stomach problems."
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A nurse is caring for a patient who has undergone neck resection with a radial forearm free flap. The nurse's most recent assessment of the graft reveals that it has a bluish color and that mottling is visible
What is the nurse's most appropriate action? A) Document the findings as being consistent with a viable graft. B) Promptly report these indications of venous congestion. C) Closely monitor the patient and reassess in 30 minutes. D) Reposition the patient to promote peripheral circulation.
The nurse is working with parents who have just experienced the birth of their first child at 34 weeks
Which statements by the parents indicate that additional teaching is needed? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "Our baby will be in an incubator to keep him warm." 2. "Breathing might be harder for our baby because he is early." 3. "The growth of our baby will be faster than if he were term." 4. "Tube feedings will be required because his stomach is small." 5. "Because he came early, he will not produce urine for 2 days."