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    ATI RN 302 Paediatrics proctored Exam

    A nurse is creating a plan of care for a child who is recovering from an epidural hematoma following a car accident to return to school. Which of the following statements should the nurse make to the school?

    Explanation & Rationale

    Choice A reason: Gradual resumption of activities allows recovery from an epidural hematoma, a traumatic brain injury. Controlled reintroduction minimizes cognitive and physical strain, reducing the risk of re-injury or increased intracranial pressure, while supporting neurological healing and adaptation to normal activities post-recovery. Choice B reason: Allowing sports with headgear is risky post-epidural hematoma, as even minor trauma can cause re-bleeding or increased intracranial pressure. The brain remains vulnerable during recovery, and physical activities like sports require medical clearance to ensure complete healing and prevent neurological complications. Choice C reason: Prohibiting gym or sports entirely may be overly restrictive. Depending on recovery, gradual participation with medical approval is possible. Blanket restrictions ignore individual healing progress, potentially limiting physical rehabilitation, which can aid recovery when appropriately timed and monitored. Choice D reason: Medical clearance for attending classes is unnecessary unless neurological deficits persist. School attendance involves minimal physical risk, and gradual cognitive reintegration supports recovery. Requiring clearance may delay socialization and learning, which are beneficial for psychological and cognitive rehabilitation post-injury.

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