NUR 401 HEAD TRAUMA CASE STUDY 2023

Scenario: J.R. is a 28-year-old man who was doing home repairs. He fell from the top of a 6-foot stepladder, striking his head on a large rock. He experienced a momentary loss of consciousness. By the time his neighbor got to him, he was conscious but bleeding profusely from a laceration over the right temporal area. The neighbor drove him to the emergency department of your hospital. As the nurse, you immediately apply a cervical collar, lay him on a stretcher, and take J.R. to a treatment room. 1. What steps will you take to assess J.R.? • First I would assess his airway to make sure it is patent and nothing is prohibiting him from getting air in • The I would assess his breathing to see if he is in distress, listen to lung sounds, count respirations, and assess chest expansion • Check Circulation assessing blood loss from laceration, by feeling for pulses, cap refill, checking for cyanosis and checking BP • Lastly I would perform Glasgow coma scale to assess LOC 2. List at least five components of a neurologic examination. • Level on consciousness • Motor function