The nurse is assessing a child who was just admitted to the hospital for observation after a head injury.What is the most essential part of the nursing assessment to detect early signs of a worsening condition?
A) Posturing
B) Vital signs
C) Focal neurological signs
D) Level of consciousness

Question

Quizplus · Accepted Answer

The most important nursing observation is assessment of the child's level of consciousness.Alterations in consciousness appear earlier in the progression of head injury than do alterations of vital signs or focal neurological signs.Neurological posturing indicates neurological damage.Vital signs and focal neurological signs are later signs of progression when compared to level-of-consciousness changes.

The Nurse Is Assessing a Child Who Was Just Admitted