A patient is admitted after a blow to the head and develops bruising behind the ear. Which finding should the nurse suspect?
Correct answer: A. Battle sign indicating a basilar skull fracture
- A. Battle sign indicating a basilar skull fracture
- B. Mastoid tenderness indicating a middle-ear infection
- C. Periorbital oedema indicating an allergic reaction
- D. Neck stiffness indicating a cervical muscle strain
Explanation
Battle sign is bruising over the mastoid area and may indicate a basilar skull fracture. It requires urgent neurological observation because associated bleeding or cerebrospinal fluid leakage may occur.
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About Neurological Nursing
Covers nursing assessment and management of stroke, epilepsy, meningitis, raised intracranial pressure, head injury, spinal cord disorders, Parkinson disease and multiple sclerosis. Key areas include level of consciousness, pupil responses, motor and sensory findings, seizure precautions and distinguishing upper motor neuron from lower motor neuron signs.
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