A child involved in a motor vehicle accident (MVA) is currently on a backboard with a cervical collar in place and has been diagnosed with a cervical fracture. Which would the nurse expect to find in the childs plan of care?

Correct Answer: B

Rationale: Maintaining spinal stabilization with methylprednisolone and ranitidine fits a cervical fracture post-MVA, per trauma protocols. Stabilization (collar, backboard) prevents cord injury; methylprednisolone reducinflammation (controversial but historically used); ranitidine protects against steroid-induced ulcers. Removing collar or all stabilization (C, D) risks movement; halo traction is later. Bs comprehensive approach, aligned with ATLS, makes itthe correct answer.

Correct Answer: D

Rationale: Decreased perfusion and increased metabolic needs cause brain damage in closed-head injury, per trauma texts. Edema or hematoma reducblood flow while injury spikdemand, leading to ischemia. Other options (A-C) mismatch physiology. Ds mechanism makes itthe correct answer.

Correct Answer: C

Rationale: PICU admission for monitoring is best for viral encephalitis in a 1-year-old, per pediatric texts, due to risks like ICP or respiratory compromise. Home (A, D) underestimatseverity; antibiotics are for bacteria. Cs vigilance makes itthe correct answer.

Correct Answer: C

Rationale: Obtunded is needing stimulation to stay awake post-MVA, per neurology texts, between lethargy and coma . Delirium is agitated; confusion less severe. Cs definition makes itthe correct answer.

Correct Answer: A

Rationale: Prepare mannitol with help is first for Cushing triad (bradycardia, hypertension, irregular breathing) in head injury, per neurocritical care, indicating severe ICP needing osmotic reduction. Fluids worsen ICP; antihypertensive mistreats; oxygen insufficient. As urgency makes itthe correct answer.