Question

the nurse is caring for a client who has sustained a head injury. which assessment finding is most important for the nurse to report to the primary healthcare provider

Answer 1

Critical neurological signs must be urgently reported by a nurse, as rapid neurological assessment in cases such as strokes or head injuries can significantly affect patient recovery.

Step-by-step explanation:

The nurse caring for a client with a head injury must prioritize reporting changes in neurological function to the primary healthcare provider. Critical neurological signs include changes in the level of consciousness, pupillary response, motor function, seizure activity, and sensory function. Assessing neurological function in an emergency is crucial for diagnosing conditions like strokes or traumatic brain injuries (TBI) and providing timely treatment, which can significantly influence recovery. The neurological exam aids in locating the affected area of the central nervous system (CNS) by evaluating reflexes, sensory responses, and motor control. Furthermore, certain symptoms such as facial asymmetry, arm weakness, and speech difficulties as remembered by the mnemonic FAST, necessitate immediate medical intervention.