The client has sustained a traumatic brain injury
(TBI) secondary to a motor vehicle accident. Which
signs/symptoms would the emergency department (ED)
nurse expect the client to exhibit?
ExplanationCorrect answer 1: Signs/symptoms of TBI include
neurological deficits, among them blurred vision,
nausea, and right-sided hemiparesis. A positive
Babinski sign would also occur with head trauma.
Autonomic dysreflexia would be found in a client with
a spinal cord injury; a positive dextrostik for glucose
would be found in someone with a cerebrospinal fluid
leak; and a positive Brudzinski and nuchal rigidity are
signs of meningitis.