Ati nur211 mobility exam
Ati nur211 mobility exam ( 29 Questions)
A nurse in the emergency department is looking after a client with a contusion from a motor-vehicle accident. Which of the following findings would be expected in this situation?
Narrowing pulse pressure is not typically associated with contusions from a motor-vehicle crash. It is more commonly seen in conditions like cardiac tamponade or severe blood loss. While it can indicate a serious condition, it is not a direct result of a contusion.
Drainage of clear fluid from the ears, known as otorrhea, can indicate a basilar skull fracture rather than a simple contusion. This finding suggests cerebrospinal fluid leakage, which is a serious complication requiring immediate medical attention.
Periods of unconsciousness and/or confusion are expected findings in clients with contusions, especially if the brain is involved. These symptoms indicate a concussion or more severe brain injury, which can result from the impact of a motor-vehicle crash.
Extensive bruising in the mastoid area, known as Battle's sign, is indicative of a basilar skull fracture rather than a contusion. This type of bruising appears behind the ear and is a sign of a more severe head injury.
Choice A Reason:
Narrowing pulse pressure is not typically associated with contusions from a motor-vehicle crash. It is more commonly seen in conditions like cardiac tamponade or severe blood loss. While it can indicate a serious condition, it is not a direct result of a contusion.
Choice B Reason:
Drainage of clear fluid from the ears, known as otorrhea, can indicate a basilar skull fracture rather than a simple contusion. This finding suggests cerebrospinal fluid leakage, which is a serious complication requiring immediate medical attention.
Choice C Reason:
Periods of unconsciousness and/or confusion are expected findings in clients with contusions, especially if the brain is involved. These symptoms indicate a concussion or more severe brain injury, which can result from the impact of a motor-vehicle crash.
Choice D Reason:
Extensive bruising in the mastoid area, known as Battle's sign, is indicative of a basilar skull fracture rather than a contusion. This type of bruising appears behind the ear and is a sign of a more severe head injury.