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It would be most appropriate to perform a focused secondary assessment on a patient who:

A. fainted and fell to the ground from a standing position.
B. was restrained during a high-speed motor vehicle crash.
C. struck his or her head and is experiencing nausea or vomiting.
D. has blood draining from the ears following a head injury.

1 Answer

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Final answer:

A focused secondary assessment is most appropriate for a patient who fainted and fell, as rapid neurological evaluation can identify affected areas of the CNS and guide treatment. The neurological exam, crucial in emergencies, assesses sensory and motor responses to determine injury locations and treatments.

Step-by-step explanation:

It would be most appropriate to perform a focused secondary assessment on a patient who fainted and fell to the ground from a standing position. A focused secondary assessment is necessary to evaluate the patient's condition quickly and to check for specific neurological issues resulting from potential trauma. In emergency situations, rapid assessment of neurological function is paramount in order to identify the affected area of the central nervous system (CNS) and to provide prompt and accurate treatment, which can significantly influence recovery outcomes. Patients presenting with symptoms such as fainting, a "pins-and-needles" sensation, or other cognitive and sensory deficits may require an expedited neurological examination, including checking reflexes, sensory response, and motor control, to determine precise injury location within the CNS.

The neurological exam is a concise and efficient way for health care providers to assess neurological function and determine areas of the CNS affected by damage or disease. This clinical tool allows for the identification of conditions such as stroke, sensory system problems, and may provide direction for further tests like a CT scan. In less urgent cases, such as when the patient has trouble feeling sensations or demonstrates language deficits, the neurological exam will uncover deeper issues, directing the emergency team on the proper course of action, including potential therapies or interventions like aspirin to prevent blood clots.

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