169) Answer

B. My husband will be fine if he takes a long nap

Rationale

•Allowing the patient with head injury to take a long nap needs further teaching because it could imply that the wife did not fully understand that she must interrupt the patient’s sleep to detect early signs of increased ICP.

•Contusion or hematoma development can cause increase in ICP which disrupts neural function. Head injury, whether it is a concussion, contusion or hemorragic with hematoma formation can result in decreased LOC which can be masked with a long nap. It is important to monitor the patient frequently.

•Vomiting and difficulty talking are signs of increased ICP.