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The novice nurse is assigned a patient who was admitted earlier in the day with a diagnosis of post-head injury concussion. What statement made by the nurse demonstrates an understanding of the care of the patient's injuries?

-"I can expect the pupils to be unequal in size and sluggish to respond."

-"I will delegate to the unlicensed assistive personnel (UAP) to keep the patient awake for the next eight hours."

"-To help with post-head injury headaches, I will ask the health care provider to prescribe morphine intravenously (IV)."

"I- need to assess the patient's level of consciousness frequently because that is the first indication of complications."

User Dorab
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Final answer:

The correct statement demonstrating an understanding of the care for a concussion patient is that the nurse needs to frequently assess the patient's level of consciousness to monitor for complications. It is crucial in the period following a concussion as changes in consciousness can indicate worsened neurological status. This approach is key for early detection and prompt intervention.

Step-by-step explanation:

Among the statements provided, the one that demonstrates an understanding of the care of a patient with a post-head injury concussion is: "I need to assess the patient's level of consciousness frequently because that is the first indication of complications." This is the correct approach because maintaining and assessing the neurological status of the patient is critical in identifying any worsening of the condition, especially in the case of a cerebral concussion. Monitoring a patient's neurological function is a fundamental part of post-traumatic brain injury care. Unequal and sluggish pupils can indicate increased intracranial pressure, but this is not a universal expectation in all patients with concussion. Trying to keep a patient with a concussion awake for an extended period might not be recommended due to the need for rest. Furthermore, prescribing morphine IV for headaches might not be suitable due to its potential to mask neurological assessments. In contrast, frequent monitoring of the level of consciousness can reveal signs of deteriorating neural function, necessitating prompt intervention.

Brain Injuries such as concussion are sensitive matters for which nurses and healthcare providers must be especially vigilant as symptoms and signs can evolve rapidly. Therefore, the provided care and assessments should be based on established clinical guidelines, focusing on maintaining the safety and health of the patient while monitoring for potential complications arising from the injury.

User Aniruddha Das
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