Asked by Alexandria Coutret on May 01, 2024
Verified
The nurse is assessing a child who was just admitted to the hospital for observation after a head injury. Which is the most essential part of the nursing assessment to detect early signs of a worsening condition?
A) Posturing
B) Vital signs
C) Focal neurologic signs
D) Level of consciousness
Focal Neurologic Signs
Specific and localized neurological deficits that indicate dysfunction in a particular area of the brain or nervous system.
- Recognize the priority of nursing assessments to detect early signs of worsening conditions in children with head injuries.
Verified Answer
DR
Dayne RangelMay 07, 2024
Final Answer :
D
Explanation :
The most important nursing observation is assessment of the child's level of consciousness. Alterations in consciousness appear earlier in the progression of an injury than do alterations of vital signs or focal neurologic signs. Neurologic posturing is indicative of neurologic damage. Vital signs and focal neurologic signs are later signs of progression when compared with level-of-consciousness changes.
Learning Objectives
- Recognize the priority of nursing assessments to detect early signs of worsening conditions in children with head injuries.