Which of the following is the best indicator of brain function in a child with a moderate brain injury?

Level of consciousness

Gross motor skill function

Pupil response

Vital signs

Answer and Explanation

The Correct Answer is A

Choice A reason: This is the correct choice. The level of consciousness is the most direct and immediate indicator of brain function following an injury.
Choice B reason: Gross motor skill function is important but may not be the best immediate indicator of brain function.
Choice C reason: Pupil response is a good indicator of brain function but is part of a broader neurological assessment that includes the level of consciousness.
Choice D reason: Vital signs are important to monitor but do not directly indicate brain function like the level of consciousness does.

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Correct Answer is A

Explanation

Choice A reason: A third-degree circumferential burn can compromise blood flow, posing an immediate risk for altered tissue perfusion, which can lead to tissue necrosis and limb loss.

Choice B reason: While impaired physical mobility is a concern, it is not as immediately life-threatening as altered tissue perfusion.

Choice C reason: Nutritional needs are important for healing, but the immediate threat to life from a third-degree burn is the risk for altered tissue perfusion.

Choice D reason: Fluid imbalance is a significant concern due to the potential for burn-induced edema and dehydration; however, the most immediate life-threatening issue is altered tissue perfusion.

A. "Call the doctor immediately if the infant has a temperature greater than 100°F." B. "The pediatrician should be contacted if the infant has two loose stools in an 8-hour period." C. "Call your pediatrician if the infant has not had a wet diaper for 8 hours." D. "Notify the pediatrician if the infant naps more than 2 hours."

Correct Answer is C

Explanation

Choice A reason: Fever is a concern, but it is not the most immediate sign of dehydration.
Choice B reason: While loose stools are a symptom of diarrhea, the frequency mentioned does not necessarily indicate an emergency.
Choice C reason: This is the correct choice. Lack of a wet diaper for 8 hours can indicate dehydration, which is an emergency in infants.
Choice D reason: Longer naps may not be directly related to diarrhea and do not warrant immediate contact with a pediatrician.

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Which of the following is the best indicator of brain function in a child with a moderate brain injury?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

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