A nurse is reinforcing teaching with a newly licensed nurse about coup and contrecoup injuries. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

A contrecoup injury is not considered a "true" injury, and a coup injury can be more devastating.

The coup injury is the primary focal injury, and the contrecoup injury occurs on the opposite side of the brain.

The coup injury occurs secondary to the contrecoup injury but does not affect blood supply to the brain.

Contrecoup injuries are less severe and easier to heal from over time.

Answer and Explanation

The Correct Answer is B

A. A contrecoup injury is a true injury and can be significant; stating it is not considered "true" is incorrect and indicates a lack of understanding.
B. This statement accurately describes coup and contrecoup injuries, where a coup injury occurs at the site of impact and a contrecoup injury occurs on the opposite side of the brain.
C. This statement is incorrect because a coup injury does not occur secondary to the contrecoup; they can happen simultaneously during trauma.
D. Contrecoup injuries can be just as severe as coup injuries, and the healing process varies; stating they are easier to heal from is misleading and reflects a misunderstanding.

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Correct Answer is ["C","D","E"]

Explanation

A. Restraints should not be used routinely for clients with seizure disorders, as they can lead to injury and are not recommended for seizure management.
B. A bite stick is not recommended during a seizure because it can cause injury to the client’s teeth and jaw.
C. Keeping an oxygen setup at the bedside is essential to provide supplemental oxygen if the client experiences difficulty breathing during or after a seizure.
D. Elevating the side rails when the client is in bed helps prevent falls and injuries during a seizure, providing a safer environment.
E. A suction setup at the bedside is important to clear secretions and prevent aspiration during a seizure, especially if the client has impaired swallowing or is at risk for aspiration.

A. A male client who is 53-years-old B. A female client who is 44-years-old C. A client who is of Asian ethnicity D. A client who is African American

Correct Answer is D

Explanation

A. While age contributes to hypertension risk, being male and 53 years old does not inherently confer the greatest risk when compared to other factors like ethnicity.
B. The client’s younger age and female gender reduce the overall risk for hypertension compared to other groups.
C. Although people of Asian ethnicity can develop hypertension, their overall risk is lower than that of African Americans.
D. African Americans have a significantly higher risk for hypertension due to a combination of genetic, environmental, and socio-economic factors. This group is known to have a higher prevalence of this condition, often developing it at an earlier age.

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A nurse is reinforcing teaching with a newly licensed nurse about coup and contrecoup injuries. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for a client who has a seizure disorder. Which of the following interventions should the nurse include in the plan?

Correct Answer is ["C","D","E"]

Explanation

A nurse is reinforcing health screening education with a group of clients. The nurse should recognize that which of the following clients has the greatest risk for hypertension?

Correct Answer is D

Explanation

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