Difficulty: Medium
Average Score: 64%
Simulated
A nurse is caring for a client who was involved in a motor vehicle accident. The client is alert and oriented and reports a loss of consciousness immediately after the accident. Which of the following additional manifestations should the nurse assess the client for?
Correct answer
A,B,D
Rationale
Pupillary dilation, persistent headache, and difficulty waking are signs of potential neurological issues post-head injury, such as increased intracranial pressure or concussion. Hand tremors and foot drop are less directly related to immediate post-accident neurological assessment.