Which behavior(s) by the patient diagnosed with a chronic head injury would the nurse expect to find?

Ability to process multiple pieces of information at the same time

Playing chess with fellow patients within one week of admission

Difficulty planning and organizing thoughts and behaviors

Being increasingly non-compliant with therapeutic care plans

Answer and Explanation

The Correct Answer is C

A. Chronic head injury patients often struggle with processing multiple pieces of information simultaneously due to cognitive limitations.

B. Activities requiring complex strategy, like chess, are typically challenging shortly after admission and not a realistic expectation.

C. Difficulty with planning and organizing thoughts and behaviors is a common cognitive deficit in patients with chronic head injury due to impaired executive function, often resulting from damage to the frontal lobe.

D. While non-compliance can occur, it is less predictable and may not be directly linked to chronic head injury itself.

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Correct Answer is A

Explanation

A. A cold, pulseless foot indicates compromised blood flow, a medical emergency following an arteriogram. The nurse should immediately notify the physician to address potential vascular occlusion.

B. Elevating the limb can further impair circulation if blood flow is already compromised.

C. Covering the limb will not address the underlying issue of impaired circulation.

D. Repositioning may delay timely intervention in what may be a vascular emergency.

A. Remove all foreign objects B. Stabilize object and lightly protect with covering C. Provide a light meal with clear liquids D. Instruct the patient vigorously blow their nose if necessary

Correct Answer is B

Explanation

A. Removing objects is contraindicated, as it can worsen the injury.

B. Stabilizing the object and covering it prevents further injury until medical evaluation, which is critical in cases of eye trauma. Moving or removing a foreign body could lead to additional damage.

C. Providing a light meal is not directly related to managing eye trauma and does not address the immediate concern.

D. Blowing the nose could increase intraocular pressure, potentially worsening the injury.

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Which behavior(s) by the patient diagnosed with a chronic head injury would the nurse expect to find?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient has returned to the unit following a peripheral arteriogram. During the assessment, the nurse notes that the dorsalis pedis pulse is not palpable and the foot is cold. What should be the nurse's immediate action?

Correct Answer is A

Explanation

The nurse is caring for a patient who has sustained eye trauma as a result of a motor vehicle crash (MVC). Which intervention should the nurse provide regarding a foreign body?

Correct Answer is B

Explanation

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