Cooper Madison, a 6-year-old Caucasian male, arrived at the…
Cooper Madison, a 6-year-old Caucasian male, arrived at the emergency department at 1045 Tuesday with a closed head injury and concussion, related to a fall from a tree house. A CT scan indicated possible skull fracture and subdural hematoma. A C-spine ruled out spinal fracture. While still in the emergency department, Cooper experienced an unwitnessed seizure. At 1300 Tuesday, Cooper was admitted to the pediatric unit. He has showed signs of decreasing consciousness overnight. Assessments: Neurologic: WNL, Glasgow coma scale score of 12Cardiac: Regular rate and rhythmRespiratory: Clear throughoutGI/GU: WNLIntegumentary: Dry, warmOrtho/Mobility: Full range of motionPsychosocial: Age-appropriate Cooper has slept intermittently throughout the night. Most recent Glasgow coma scale at 0600 was 12. He complained of a mild headache during the night, which has been relieved with acetaminophen. Seizure precautions are in place. He has had no seizures since arrival to the pediatric unit. His mother is in the room with him. The scenario takes place on Wednesday at 0645. As the you enter the room, Cooper is lying supine in bed. He immediately begins having a seizure. Frothy emesis is oozing from his mouth and nose. The head of bed is flat and both side rails are in the down position. List your top five nursing interventions you will implement immediately.