(FINAL ANSWER) NR305 Week 3 Discussion :HEENT and Neurological Assessment

NR305 Week 3 Discussion :HEENT and Neurological Assessment

 Discussion: Apply Knowledge

Step 1: Answer the discussion prompts below with explanation and detail.

Scenario: Jackson is a 16-year-old male admitted to the emergency department after sustaining a concussion during a football game. His parents report that Jackson hit his head on the ground after being tackled. Moments later, he began vomiting and became dizzy and disoriented. He has no pertinent past medical history and no significant surgical history. He complains of a headache, sensitivity to light, and nausea.

Paragraph one: Based on the letter of your last name, discuss which specific assessments you would complete on Jackson. Explain why you would select these assessments.

Last Name Assessment
A-L Neurological
M-Z HEENT

Paragraph two: Based on the letter of your last name, explain how your HEENT or neurological assessment will differ based on the situation in the table.

Last Name Assessment Situation
A-L Neurological Jackson is an 88-year-old admitted to the emergency department after sustaining a concussion from a fall at a care facility. He also has dementia.
M-Z HEENT Jackson is an 8-year-old admitted to the emergency department after sustaining a concussion from a motor vehicle accident. He is scared and sobbing.

SOLUTION NR305 Week 3 Discussion :HEENT and Neurological Assessment

Hello Class,

I would prioritize completing Jackson’s neurological evaluation. This is critical since concussions directly alter brain function, and measuring neurological status can aid in determining the extent of brain injury. The Glasgow Coma Scale (GCS) would be a key tool in this evaluation because it assesses Jackson’s state of consciousness by examining his ocular, verbal, and motor responses. A drop in GCS score may suggest increasing brain damage. In addition, I would analyze his orientation (time, place, and person) to identify the level of disorientation and bewilderment. I would also look at Jackson’s cranial nerves, specifically cranial nerve II (vision), cranial nerve III (pupil response), and cranial nerve VIII (hearing and balance), which could be compromised by the concussion. Assessing for dizziness, headache, nausea, and vomiting, which are common signs of a concussion, is also critical to ensuring that his status is constantly monitored (Giza & Hovda, 2014)….

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