A 10-year-old boy on a bicycle has been hit by a car in front of ...

[Davideckstein7]

A 10-year-old boy on a bicycle has been hit by a car in front of the school. The school nurse immediately assesses airway, breathing, and circulation. The next nursing action: should be to
 
  a. place on side.
  b. take blood pressure.
  c. stabilize neck and spine.
  d. check scalp and back for bleeding.

Question 2

The nurse is planning care for an 8-year-old child with a concussion. Which is descriptive of a concussion?
 
  a. Petechial hemorrhages cause amnesia.
  b. Visible bruising and tearing of cerebral tissue occur.
  c. It is a transient and reversible neuronal dysfunction.
  d. A slight lesion develops remotely from the site of trauma.

[Madisongo23]

Answer to Question 1

ANS: C
After determining that the child is breathing and has adequate circulation, the next action is to stabilize the neck and spine to prevent any additional trauma. The child's position should not be changed until the neck and spine are stabilized. Blood pressure is a later assessment. Less urgent, but an important assessment, is inspection of the scalp for bleeding.

Answer to Question 2

ANS: C
A concussion is a transient, reversible neuronal dysfunction with instantaneous loss of awareness and responsiveness resulting from trauma to the head. Petechial hemorrhages along the superficial aspects of the brain along the point of impact are a type of contusion, but are not necessarily associated with amnesia. A contusion is visible bruising and tearing of cerebral tissue. Contrecoup is a lesion that develops remote from the site of trauma as a result of an acceleration-deceleration injury.

[Davideckstein7]

Thank you

[Madisongo23]

Happy to help you