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Kaplan Practice Test

The nurse is caring for an alert and oriented teen with a head injury who reports a slight headache. Which of the following symptoms exhibited by the client would require immediate intervention by the nurse?

The client reports a continued headache and becomes drowsyThe headache becomes worse and the client shows a decrease in the level of consciousnessThe client vomits one time and continues to have a slight headacheThe client has no headache but has little memory of the incident

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ExplanationAn increase in headache and a decrease in level of consciousness requires medical intervention; choices are repeating CT scans, giving steroids to help with brain tissue swelling, inserting an ICP monitor, among other choices.

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