A client is suspected of experiencing a brain injury. The nurse in the emergency department notes that the client had extended loss of consciousness and is now combative. The nurse concludes that the client has experienced:
1. a penetrating brain injury.
2. a concussion.
3. a contusion.
4. intracerebral hematoma.
Answer: 3
1. A penetrating brain injury would involve a break in the skull.
2. A concussion is characterized by a loss of consciousness lasting less than 5 minutes with dizziness and confusion.
3. A contusion is a bruise that involves an extended loss of consciousness with possible combative behavior.
4. Intracerebral hematoma involves decreasing level of consciousness, pupil changes, and motor deficits.
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