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 B

Explanation

A. Shopping for shoes in the morning is not recommended, as feet tend to swell later in the day, and shoe fitting should account for potential swelling.
B. Incorporating walking into the daily routine helps improve circulation and can aid in managing peripheral vascular disease by promoting blood flow in the legs.
C. Elevating the legs might decrease circulation and is not advised for clients with peripheral vascular disease, as it can reduce blood flow to the extremities.
D. Knee-length stockings can restrict circulation, especially if they are too tight, and should be avoided to promote proper blood flow in clients with this condition.

A. Apply ice to the extremity. B. Restrict oral fluids. C. Administer vasodilating medications. D. Monitor platelet levels.

Correct Answer is D

Explanation

A. Applying ice to the extremity is generally not recommended for DVT due to the risk of promoting vasoconstriction and worsening the condition; warm compresses are usually indicated instead.
B. There is no need to restrict oral fluids for a client with DVT unless there are other specific medical reasons; hydration is important.
C. Vasodilating medications are not standard treatment for DVT and may not be appropriate; anticoagulants are typically the primary treatment.
D. Monitoring platelet levels is important in managing DVT, especially when anticoagulants are used, to assess for potential complications such as heparin-induced thrombocytopenia (HIT), making this option correct.

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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 reinforcing teaching with a client who has peripheral vascular disease. Which of the following instructions should the nurse include in the teaching?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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