A 10-year-old boy is seen in the emergency department after ...

[altibaby]

A 10-year-old boy is seen in the emergency department after falling down a flight of stairs and hitting his head. The child will be monitored overnight for complications. Which occurrence in the coming hours will warrant further assessment?
 
  A) The child reports a backache.
  B) The child is increasingly irritable with his mother and caregivers.
  C) The child refuses offers of snacks.
  D) The child reports his stomach is upset.

Question 2

The nurse is caring for a 19-month-old boy who has been admitted to the emergency department with a skull fracture. The parents state that the child fell down when running through the house and hit his head on the floor.
 
  Based on normal characteristics of skull fractures, what should be the initial focus of the assessment?
 
  A) Possible physical abuse
  B) Possible bone cancer
  C) Possible chronic neurological disease
  D) Possible developmental delay

[cegalasso]

Answer to Question 1

Ans: B
After a head injury the patient should be closely observed for neurological changes. Behavioral changes such as lethargy and irritability should be evaluated for the potential development of complications.

Answer to Question 2

Ans: A
Physical abuse must be investigated first because it takes a great deal of force to produce a skull fracture in infants and children younger than 2 years old. Due to the flexibility of the immature skull, it is able to withstand a great degree of deformation before a fracture will occur.

[altibaby]

Correct answers!

[cegalasso]

Great! Please up vote