J.R. is a 28-year-old man who was doing home repairs. He fell from the top of a 6-foot (1.8 metres) stepladder, striking

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J.R. is a 28-year-old man who was doing home repairs. He fell from the top of a 6-foot (1.8 metres) stepladder, striking his head on a rock. He experienced a momentary loss of consciousness. By the time his neighbor got to him, he was conscious but bleeding profusely from a laceration over the right temporal area. The neighbor drove him to the emergency department of your hospital. As the nurse, you immediately apply a cervical collar, lay him on a stretcher, and take J.R. to a treatment room.
1. What steps will you take to assess J.R.?
2. List at least 6 components of a neurologic examination.
3. What types of injuries may J.R. have sustained?
4. Differentiate between primary and secondary head injury.
5. What complication common to each of these diagnoses concerns you most?
6. Why is this complication clinically important?
7. Name at least 6 findings that would indicate this complication is occurring.
8. Which one is the most sensitive indicator of neurologic change?
just do questions 5-8