recognize cues
analyze cues
prioritize
take action
evaluate outcomes
100

When a patient is admitted for a TBI, the nurse might see this symptom in the eyes.

What are pupil changes?

100

A nurse would assume a patient presenting with a GCS of 13, with confusion and headaches after a fall from a ladder would be this kind of head injury.

What is a mild head injury?

100

A patient may need medications after a TBI to prevent increased intracranial pressure; the nurse would anticipate giving this medication.

What is Mannitol?

200

A patient presents a week after a car accident, saying they have the worst headache they've ever had. The nurse recognizes that this person may have this.

What is a subarachnoid hemorrhage?

200

A nurse knows the patient with a brain injury caused by lack of oxygen for greater than 4 minutes, the nurse suspects this brain injury is of this kind.

What is anoxic?

200

When a patient presents to the ED with a nail protruding from their forehead, the nurse knows they should do this.

What is stablize and doesn't remove?

200

This intervention is necessary for a positive outcome in a patient with a concussion.

What is brain rest (reduced stimulation)?

400

A patient presenting with posture, battle sign, and CSF leakage would indicate this to the nurse.

What is a Traumatic brain injury?

400

A patient is in the ER with a suspected brain injury, the nurse knows they will maintain these 2 things first.

What are c-spine precautions and airway.

400

A patient with a basilar skull fracture is at risk for this complication

ICP

500

Battle sign may be the only sign of this kind of skull fracture.

Basilar skull fracture?

500

A patient with a basilar skull fracture will have this different precaution than from other head trauma.

What is laying the head of the bed flat?

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