COURSE:
NR305 – RN Health 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. |
Paragraph three: Discuss the priority problems related to your assessment findings that warrant immediate attention.
References: Provide complete references for all citations.
Solution
A-L
Paragraph one
A neurological exam is a fundamental tool for assessing the effects of head trauma and diagnosing concussion. It includes physical tests to evaluate how well the brain is functioning such as: mental status, strength, reflexes, coordination, balance, hearing, nerve function and sensation. For 16-year-old Jackson, I would assess all functions listed above. A frequently used…
M-Z
Paragraph one
For Jackson, the 16-year-old male with a concussion from a football game, a comprehensive HEENT assessment is crucial to evaluate potential head trauma and associated symptoms. Starting with the head, a thorough examination would involve palpating for any areas of tenderness, swelling, or deformity, which could………………………………..$5