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A Child Who Has Sustained a Head Injury After Falling

Question 4

Multiple Choice

A child who has sustained a head injury after falling on the playground is brought to the clinic. The parents report that the child cried immediately and was able to walk around after falling. The primary care pediatric nurse practitioner notes slight slurring of the child's speech and the child has vomited twice in the exam room. Which course of action is warranted?


A) Admit the child to the hospital for a neurology consult.
B) Observe the child in the clinic for several hours.
C) Order a head CT and observe the child at home.
D) Send the child home with instructions for follow-up.

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