Six-month-old Casey Martin and her 4-year-old brother, John Martin sustain head injuries when the car driven by their mother is struck head on at an intersection.

Six-month-old Casey Martin and her 4-year-old brother, John Martin sustain head injuries when the car driven by their mother is struck head on at an intersection. Although Casey is in an infant seat, her head is severely shaken. John unbuckles his car seat and his head strikes the dash board with force.

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The Martins are transported to the emergency department (ED) where Mrs. Martin is treated and released. The children are triaged as needing immediate intervention.

Question

Safe and effective care: Nursing care planning

The nurse develops a plan of care for casey. Care is complex due to the severity of her injury and large size of the hematoma.

6. while providing care for a child with an epidural hematoma which nursing intervention are most essentials? (select all that apply)

A. maintain the airway and monitor oxygen saturation

B. administer antibiotics as ordered

C. frequent neurological assessment

D. implement seizure precaution

E. monitor fluid status and osmolarity

(Note: I tried to select all but failed. One of them is incorrect not sure which)