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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)

A.

Falls

B.

Violence

C.

Sports-related injuries

D.

Working as a firefighter

E.

Working in a factory

Question Solution

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 A

Explanation

A. A blood pressure of 80/40 mm/Hg indicates hypotension, which is a contraindication for administering furosemide. The medication can further lower blood pressure and increase the risk of adverse effects.

B. An oxygen saturation of 95% is within normal limits and does not indicate a need to withhold furosemide.

C. A serum sodium level of 140 mEq/L is normal and would not warrant withholding the medication.

D. A serum potassium level of 4.8 mEq/L is also normal and safe for furosemide administration, as the medication may cause potassium loss but does not require withholding if the level is within range.

Correct Answer is B

Explanation

A. Primary progressive multiple sclerosis is characterized by a gradual progression of symptoms without relapses, so this does not match the client's pattern.

B. Relapsing-remitting multiple sclerosis is defined by episodes of exacerbation (active symptoms) followed by periods of remission (no symptoms), which aligns with the client's description.

C. Secondary progressive multiple sclerosis follows an initial relapsing-remitting course but leads to a more continuous decline in function, so it does not match the pattern described.

D. Clinically isolating syndrome refers to a single episode of neurological symptoms but does not indicate the pattern of relapses and remissions typical of relapsing-remitting multiple sclerosis.

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