A nurse assesses soldiers in a combat zone in Afghanistan. When is it most important for the nurse to screen for signs and symptoms of traumatic brain injury (TBI)?
a. After a fall, vehicle crash, or exposure to a blast
b. Before departing Afghanistan to return to the United States
c. One year after returning to the United States from Afghanistan
d. Immediately upon return to the United States from Afghanistan
ANS: A
The military estimates that up to 20% of the combat veterans in both Afghanistan and Iraq suffer some degree of TBI. TBI exhibits signs shortly after the injury, and these signs usually resolve in days or weeks. Screening after an exposure to an explosion and before returning to the United States is important.
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