Author Question: A patient has a head injury caused by a swinging bat. For which type of injury should the nurse plan ... (Read 218 times)

sarasara · **on:** Jun 25, 2018

A patient has a head injury caused by a swinging bat. For which type of injury should the nurse plan care for this patient?

1. contact
2. a deceleration
3. an accelerationdeceler ation injury
4. rotational

Question 2

A patient is in the emergency department following a head injury. What should the nurse realize as being the most accurate sign of developing increased intracranial pressure (IICP)?

1. decreasing level of consciousness
2. elevated diastolic blood pressure
3. decreasing respiratory rate
4. pupils are equal

uniquea123 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1
Contact phenomena injury is sustained when the head is struck by a moving object, such as a swinging bat. Deceleration is not a type of injury. Accelerationdeceler ation injury (linear injury) occurs when the head hits an object and the brain rebounds within the skull. Rotational injury occurs when the brain rotates within the skull and hits bony buttresses in the cranial vault.

Answer to Question 2

Correct Answer: 1
The brain is very sensitive to the level of oxygenation. As hypoxia develops, it will negatively affect the level of consciousness. Change in blood pressure is generally a widening pulse pressure. Change in respiratory rate is a late sign of IICP. Size, shape, and responsiveness of the pupils, not simply equality, should be assessed to determine if ICP is increasing.