A client strikes the head during a fall and develops confusion. What is the appropriate next step?
- AApply ice, rest for 15 minutes, and resume light work if the confusion clears
- BRun a quick balance test to decide whether EMS is needed
- CHave a friend drive the client to a doctor later today
- DStop activity, activate emergency care, and avoid unnecessary movement
Show answer and explanations
Answer
D
Confusion after a head impact is a sign of possible brain injury. Activity stops, EMS is activated, and the person is moved only if necessary, keeping in mind possible neck injury.
A
Confusion after a head strike rules out return to activity the same day, even if it seems to clear.
B
Confusion already indicates the need for emergency evaluation; a trainer's balance test delays it.
C
Delayed, informal transport is unsafe when a head injury may be worsening.
D
Confusion after a head impact is a sign of possible brain injury. Activity stops, EMS is activated, and the person is moved only if necessary, keeping in mind possible neck injury.