Assignment task:
A 35-year-old female Aisha was in a motor vehicle accident and was admitted to the hospital emergency unit. Aisha was awake and alert, answering all questions appropriately and moving her extremities well. In addition to several orthopedic injuries, a concussion was diagnosed. Aisha was admitted to the hospital for observation and care of fractured ribs on her right side and right ulna.
What is the difference between a concussion and a brain contusion?
Describe two questions the nurse might ask to assess Aisha for red flags/concerning symptoms after concussion.
What examinations might the nurse perform on Aisha relevant to her head injury? Describe two examination techniques.
Several hours after admission Aisha is having difficulty answering questions and her partner notes increased drowsiness. Upon examination, Aisha's pupils are sluggish and there is a decrease in strength in the grip of her unaffected side.
Why might Aisha's neurological status be deteriorating? Describe the likely cause and pathophysiological changes.
List 2 early signs of increased ICP and 2 late signs of increased ICP.
What priority actions would the nurse take? List the top 3 priority actions.
Using the CNO Scope of Practice (2023) document, discuss the options of who is the best person to care for this client (RN or RPN). Be sure to apply each factor to your response