Texas State Technical College Marshall

1. A client is admitted to the hospital with a traumatic brain injury after his head violently struck a brick wall during a gang fight. Which finding is most important for the nurse to assess further? A. A scalp laceration oozing blood. B. Headache rated "10" on a 0-10 scale. C. • Correct D. Dizziness, nausea and transient confusion. Any nasal discharge following a head injury should be evaluated to determine the presence of cerebral spinal fluid which would indicate a tear ...