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TBI NCLEX Questions & Detailed Answers
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TBI NCLEX Questions & Detailed Answers
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TBI NCLEX Questions & Detailed AnswersA client presents with a head injury after being in a motor vehicle accident and is
diagnosed with a brain contusion with a coup-contrecoup injury. The client is
stabilized and sent home, but the healthcare provider instructs the client to return
in 3 days for a repeat MRI. Which explains the rationale for a repeat MRI?
The MRI will be repeated to determine the cause of the client's injuries.
It can take hours to days for contusions to form from a coup-contrecoup injury.
It is protocol for all MRIs to be repeated in traumatic brain injuries (TBIs).
The MRI can determine the grade of concussion that the client sustained. - ANS It
can take hours to days for contusions to form from a coup-contrecoup injury.
Brain contusions are classified as coup or contrecoup. Individuals can also have a
coup-contrecoup injury. It can take a few hours to a few days to determine the full
extent of the injury from these contusions. Therefore, the MRI would be repeated
in a few days to determine the full extent of the injury. The healthcare provider
knows the cause of the injuries. It may be protocol, but that does not explain the
reason MRIs are repeated. Concussions are no longer graded by the American
Association of Neurology.
,The nurse is caring for an adolescent who presents with headache, memory loss,
and blurred vision after sustaining an injury playing football. The healthcare
provider diagnoses the client with a concussion and instructs the client to refrain
from sports for a minimum of 4 weeks to prevent second impact syndrome (SIS).
Which client statement indicates an understanding of the instructions provided?
"I should stay away from any type of sports activity for a month."
"I should avoid playing all sports until the headaches dissipate."
"I should be out on the field with my teammates but not participate."
"I should refrain from going to school until my symptoms go away." - ANS "I should
stay away from any type of sports activity for a month."
When the adolescent states that they should stay away from any type of sports
activity for a month, this indicates an understanding of instructions provided. The
client should not rely on headaches alone to go away before resuming sports,
because this does not indicate that full healing has occurred. A concussion would
not keep the client from attending school. Being out on the field, even without
participation, should be avoided, because the client could still be injured.
Which information regarding postconcussion syndrome and signs to report should
the nurse provide to the client who sustained a concussion? (Select all that apply.)
, Rash or hives
Personality changes
Sensitivity to light and noise
Insomnia
Nausea - ANS Personality changes
Sensitivity to light and noise
Insomnia
Nausea
Signs of postconcussion syndrome include nausea, insomnia, headaches,
personality changes, light and noise sensitivity, memory problems, dizziness, and
fatigue. Although the client may want to report a rash or hives, this finding would
not be related to postconcussion syndrome.
A client is seen in the urgent care center with signs of a mild traumatic brain injury
(TBI). Which clinical manifestation would indicate a need to see a neurologist?
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