A child has been diagnosed with a basilar skull fracture. The ...

[ereecah]

A child has been diagnosed with a basilar skull fracture. The nurse should monitor this child for:
 
  1. Periorbital ecchymosis.
  2. Subdural hematoma.
  3. Protruding bone.
  4. Epidural hematoma.

Question 2

A 24-hour urine collection has been ordered at 1030, for a child receiving vanillylmandelic acid (VMA). Urine collection should begin:
 
  1. At 0700.
   2. With the child's next void.
   3. At bedtime.
   4. When the order is noted.

[sailorcrescent]

Answer to Question 1

1
Rationale 1: Periorbital ecchymosis, also called raccoon eyes, is seen with a basilar fracture.
Rationale 2: Subdural hematoma might be seen with a linear fracture.
Rationale 3: Protruding bone might be seen with a compound fracture.
Rationale 4: Epidural hematoma is seen with linear fracture.
Global

Answer to Question 2

2
Rationale:
1. It would not be an accurate collection of 24 hours of urine if the collection began at 0700.
2. A 24-hour urine collection is started after the child's next void.
3. It would not be an accurate collection of 24 hours of urine if the collection began at bedtime.
4. It would not be an accurate collection of 24 hours of urine if it began when the order was noted.