A seventh grader lost consciousness after being hit in the head with a basketball. In the emergency room his vital signs are stable, and he demonstrates no neurologic deficit. He will not be…

The correct answer is D. Wake him up every 1-2 hours during the night. (A) Fluid intake should be normal. Fluid intake may be restricted when there is a risk for increased ICP in a hospitalized client. (B) Nausea is possible, but vomiting without nausea is more likely with increased ICP. Neither one should be expected, but the mother should know…

Safe and Effective Care Environment: Management of Care

Question

A seventh grader lost consciousness after being hit in the head with a basketball. In the emergency room his vital signs are stable, and he demonstrates no neurologic deficit. He will not be admitted to the hospital. It is most important that you advise his mother to:

Options

AEncourage him to drink plenty of fluids
BExpect him to have nausea with vomiting
CKeep him awake for the next 12 hours
DWake him up every 1-2 hours during the night

How the community answered

(28 responses)

A
14% (4)
B
4% (1)
C
7% (2)
D
75% (21)

Explanation

(A) Fluid intake should be normal. Fluid intake may be restricted when there is a risk for increased ICP in a hospitalized client. (B) Nausea is possible, but vomiting without nausea is more likely with increased ICP. Neither one should be expected, but the mother should know to notify the physician or hospital if they (C) The child does not need to be kept awake. It is important that he can be aroused from sleep. (D) If the child cannot be awakened from sleep after head injury, it is an indication of serious increase in ICP. The mother should call an ambulance right away.

Topics

#concussion#neurological monitoring#head injury discharge#parental education

Community Discussion

No community discussion yet for this question.

Full NCLEX-RN Practice