What is one of the management strategies in a patient with a brain tissue laceration?
Explanation & Rationale
A. Antibiotics until meningitis can be ruled out is correct because a brain tissue laceration disrupts the protective barriers of the brain, such as the meninges, increasing the risk for infection including meningitis or abscess formation. Prophylactic antibiotics are often administered until infection is ruled out or controlled. B. Placing patient on anticoagulants is incorrect because anticoagulants increase the risk of bleeding, which can worsen intracranial hemorrhage in patients with brain tissue injury. C. Encouraging deep breathing and coughing is incorrect because while generally beneficial for pulmonary function, vigorous coughing can increase intracranial pressure (ICP) and worsen brain injury, so it is not routinely encouraged in patients with brain lacerations. D. Monitoring for peripheral edema is incorrect because edema in the extremities is not a primary concern in managing brain tissue lacerations. The critical focus is neurological status, ICP, and prevention of infection.