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Author Question: A client has an open head injury resulting from a fall and loses consciousness during transport to ... (Read 188 times)

Ebrown

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A client has an open head injury resulting from a fall and loses consciousness during transport to the hospital. The nurse observes clear fluid in the outer ear, which may indicate:
 
  a. infection in the injured area c. injury to facial bones
  b. cerebrospinal fluid leakage d. cerebral laceration

Question 2

Which type of skull fracture is of particular concern because of the close proximity of the fragile sinus bones and the adhesion of the dura mater to this area?
 
  a. basilar c. depressed
  b. comminuted d. linear



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eliasc0401

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Answer to Question 1

B
Nursing care of clients with head injury focuses on monitoring neurological status, including level of consciousness, motor function, eye movement, pupillary reaction, vital signs, and other manifestations such as headache, bleeding, nausea or drainage of clear fluid in the outer ear or nose, which can indicate cerebrospinal fluid leakage.

Answer to Question 2

A
A basilar skull fracture is of particular concern because of the close proximity of the fragile sinus bones and the adhesion of the dura mater to this area.





 

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