The client has sustained a traumatic brain injury (TBI) secondary to a motor vehicle accident. Which signs/symptoms would the emergency department (ED) nurse expect the client to exhibit?

The nurse is caring for clients on a rehabilitation unit. Which nursing task would be most appropriate for the nurse to delegate to the unlicensed assistive personnel (UAP)?

The nurse is discussing the TBI Act at a support group meeting. Which statement best explains the act?

The emergency department nurse is entering the room of a client who was at a baseball game and was hit in the head with a bat. Which intervention should the nurse implement first?

Which clinical manifestation would the nurse assess in the client with a T-12 spinal cord injury (SCI) who is experiencing spinal shock?

The rehabilitation nurse caring for the young client with a T-12 SCI is developing the nursing care plan. Which priority intervention should the nurse implement?

The nurse is caring for a client with a C-6 SCI in the neurological intensive care unit. Which nursing intervention should be implemented?

The male client with a C-6 SCI tells the home health nurse he has had a severe pounding headache for the last 2 hours. Which intervention should the clinic nurse implement?

The nurse on the rehabilitation unit is caring for the following clients with SCIs. Which client should the nurse assess first after receiving the change-of-shift report?

The nurse is caring for a client who has a C-6 vertebral fracture and is using Crutchfield tongs with 2-pound weights. Which data would the nurse expect the client to exhibit?

The client with a T-1 SCI complains of lightheadedness and dizziness when the head of the bed is elevated. The client’s B/P is 84/40. Which action should the nurse implement first?

The intensive care nurse is caring for a client diagnosed with a TBI who is exhibiting decorticate posturing. Three hours later the client has flaccid posturing. Which action should the nurse implement first?

The rehabilitation nurse is caring for the client with a closed head injury. Which cognitive goal would be most appropriate for this client?

The nurse is caring for a female client who sustained a closed head injury 8 days ago due to a motor vehicle accident. Which signs/symptoms would alert the nurse to a complication of the head injury?

The male client is being discharged from the ED after sustaining a minor head injury. Which statement indicates the wife understands the discharge teaching?

The intensive care nurse is caring for a client diagnosed with a closed head injury. Which data would warrant immediate intervention?

The 25-year-old client with an SCI is sharing with the nurse that he is worried about how his family will be able to survive financially until he can go back to work. Which intervention should the nurse implement?

The client with increased intracranial pressure is receiving mannitol (Osmitrol), an osmotic diuretic. Which intervention should the nurse implement?