After a motor vehicle crash, a client who sustained multiple injuries is oriented to person and place but is confused as to time. The client complains of a headache and drowsiness, but assessment reveals that the pupils are equal and reactive. Which nursing action takes priority?

Question

03-12-2019
Health

contestada

After a motor vehicle crash, a client who sustained multiple injuries is oriented to person and place but is confused as to time. The client complains of a headache and drowsiness, but assessment reveals that the pupils are equal and reactive. Which nursing action takes priority?

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Histrionicus Histrionicus · Answer 1 · 2019-12-05T12:02:31+01:00

Answer:

The given question is not complete as it lack the proper option Which are as follow-

a. Moving the client as little as possible

b. Preparing the client for mannitol administration

c. Stimulating the client to maintain responsiveness

d. Monitoring the client for increasing intracranial pressure - is correct answer.

Explanation:

According the symptoms that is shown by the client mentioned in the question which are, - losing sense of time, nausea, drowsiness and headache. These symptoms are suggested that an individual client is having increased intracranial pressure.

The intracranial pressure is the pressure that is present inside the brain. As it is the pressure that is present in cerebrospinal fluid and brain tissue.

Thus, the correct answer is - option d.