Answer :
Final answer:
The most appropriate intervention for Lithia Monson, considering her head injury and condition, is to option b) apply ice to the forehead laceration to minimize swelling and discomfort.
Explanation:
The most appropriate intervention for Lithia Monson, given her condition and the details provided, is to option b) apply ice to the forehead laceration. This measure is important for minimizing swelling and potentially alleviating discomfort. Lithia has presented with a head injury and a small laceration on her forehead following a fall, making the application of a cold compress or ice a primary, immediate intervention to address the external physical trauma. Furthermore, given her increased fall risk and poor baseline neurological status due to dementia, accompanied by confusion, close monitoring is essential. However, the specific action of applying ice directly addresses the physical injury presented.
Administering anticoagulants could be risky without clear indications especially considering the potential for a subdural hematoma. Performing neurological assessments more frequently than every hour initially (as already planned) or intensive monitoring of fluid intake and output might not directly respond to the acute needs dictated by the injury's nature. Therefore, simplifying care to direct interventions for observed injuries—like applying ice to reduce forehead swelling—represents an immediate, non-invasive approach tailored to the patient's current symptoms and potential for recovery.
