What should be the nurse's first action when a child with a head injury complains of double vision and a headache,and then vomits?
A) Immobilize the child's neck.
B) Report this information to the physician.
C) Darken the room and put a cool cloth on the child's forehead.
D) Restrict the child's oral fluid intake.

Question

Quizplus · Accepted Answer

Any indication of ICP such as double vision,headache,or vomiting should be promptly reported to the physician.Stabilizing the child's neck does not address the child's symptoms.Darkening the room and giving a cool cloth are comfort measures.A fluid restriction is not needed.

What Should Be the Nurse's First Action When a Child