A nurse is reinforcing teaching to a group of nursing students about causes of traumatic brain injuries (TBIs). Which of the following should the nurse include in the teaching? (Select All that Apply)
Falls
Violence
Sports-related injuries
Working as a firefighter
Working in a factory
Correct Answer : A,B,C
A. Falls are one of the leading causes of TBIs, especially in older adults and young children.
B. Violence, including assaults or domestic abuse, can result in traumatic brain injuries, often due to blunt trauma to the head.
C. Sports-related injuries, particularly from contact sports like football or boxing, are a well-recognized cause of TBIs.
D. While firefighting can involve physical risks, it is not a direct cause of traumatic brain injuries unless an accident involving the head occurs.
E. Working in a factory, though it may pose various risks, does not typically involve causes directly linked to TBIs unless there is an accidental head injury.
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Correct Answer is B
Explanation
A. A contrecoup injury is a true injury and can be significant; stating it is not considered "true" is incorrect and indicates a lack of understanding.
B. This statement accurately describes coup and contrecoup injuries, where a coup injury occurs at the site of impact and a contrecoup injury occurs on the opposite side of the brain.
C. This statement is incorrect because a coup injury does not occur secondary to the contrecoup; they can happen simultaneously during trauma.
D. Contrecoup injuries can be just as severe as coup injuries, and the healing process varies; stating they are easier to heal from is misleading and reflects a misunderstanding.
Correct Answer is C
Explanation
A. Benztropine is an anticholinergic agent, which reduces salivation rather than causing excessive salivation.
B. Diarrhea is not a typical side effect of benztropine; constipation is more likely due to its anticholinergic properties.
C. Difficulty voiding is an anticholinergic adverse effect of benztropine, as it can cause urinary retention. The client should report this symptom immediately to prevent complications.
D. Slow pulse is not a common adverse effect of benztropine; it may actually increase heart rate due to its anticholinergic effects.