A nurse is caring for an older adult patient in the emergency department who sustained a head injury due to a fall. Which of the following are common causes of head injuries in older adults?

Decreased visual acuity

Motor vehicle crashes

Polypharmacy

Weakness

Chronic hypertension

Answer and Explanation

Correct Answer : A,C,D,E

Choice A rationale

Decreased visual acuity can increase the risk of falls, which are a common cause of head injuries in older adults. Impaired vision can affect balance and coordination, making it more difficult for an individual to navigate their environment safely.
Choice B rationale
While motor vehicle crashes can certainly lead to head injuries, they are not one of the most common causes of head injuries in older adults. Falls are actually the leading cause of head injuries in this population.
Choice C rationale
Polypharmacy, or the use of multiple medications by a patient, is common in older adults and can increase the risk of falls and, consequently, head injuries. Certain medications can cause side effects such as dizziness or confusion, which can lead to falls.
Choice D rationale
Weakness, particularly in the lower body, can increase the risk of falls and subsequent head injuries in older adults. Lower body weakness can affect an individual’s balance and mobility, making falls more likely.
Choice E rationale
Chronic hypertension can lead to a variety of health complications, including an increased risk of falls and head injuries. Hypertension can cause dizziness and balance problems, which can increase the risk of falls.

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Correct Answer is D

Explanation

Choice A rationale
While a CT angiogram can indeed reveal fractures within the skull or spine, this is not its primary purpose in the context of a subarachnoid hemorrhage. The main goal is to visualize the blood vessels in the brain.
Choice B rationale
A CT angiogram does not primarily reveal overproduction of cerebrospinal fluid (CSF). It is used to visualize the blood vessels in the brain.
Choice C rationale
While a CT angiogram can show areas of edema within the brain tissue, this is not its main purpose in the context of a subarachnoid hemorrhage. The primary goal is to visualize the blood vessels in the brain.

Choice D rationale
A CT angiogram can indeed reveal decreased blood flow related to vasospasm in the context of a subarachnoid hemorrhage. Vasospasm is a condition in which blood vessels spasm, leading to vasoconstriction. This can reduce blood flow to the brain, which can be visualized on a CT angiogram.

A. A nurse provides nonpharmacological pain interventions to each client equally. B. A nurse fulfills a promise to a client that they will return with their pain medication. C. A nurse administers a scheduled pain medication for a client who is having pain. D. A nurse gives a client the choice of when to take a pain medication.

Correct Answer is D

Explanation

Choice A rationale
Providing nonpharmacological pain interventions to each client equally is an example of justice, not autonomy. Justice in healthcare refers to treating all patients fairly and equitably.
Choice B rationale
Fulfilling a promise to a client that they will return with their pain medication is an example of fidelity, not autonomy. Fidelity refers to being faithful to commitments and promises.
Choice C rationale
Administering a scheduled pain medication for a client who is having pain is an example of beneficence, not autonomy. Beneficence refers to taking actions that are of benefit to the patient.
Choice D rationale
Giving a client the choice of when to take a pain medication is an example of autonomy. Autonomy in healthcare refers to the patient’s right to make decisions about their own care.

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A nurse is caring for an older adult patient in the emergency department who sustained a head injury due to a fall. Which of the following are common causes of head injuries in older adults?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a subarachnoid hemorrhage and asks why they are having a CT angiography. Which of the following should the nurse understand about CT angiography?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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