In planning care for a child with an acute head injury, what should the nurse prioritize?

Prioritizing the initiation of seizure precautions for a child with an acute head injury is essential due to the potential for neurological compromise. Head injuries can lead to increased intracranial pressure, brain swelling, or changes in mental status, all of which may increase the risk of seizures. Seizures can be a common complication following such injuries, and having precautions in place—such as ensuring a safe environment, using padded side rails, and preparing for seizure management—can help prevent additional injury and provide immediate safety for the child.

While administering pain medication, providing emotional support to the family, and monitoring vital signs continuously are also important aspects of care, they do not directly address the immediate risks associated with head injuries, particularly the risk of seizures. Monitoring vital signs is crucial but can be part of the broader ongoing care plan. Emotional support is vital but is generally pursued after immediate physiological concerns are stabilized. Therefore, focusing on seizure precautions takes precedence in the acute setting to protect the patient from the heightened vulnerabilities presented by a head injury.