A patient with a closed head injury has clear fluid draining from one nostril. What should the nurse do?
Correct answer: A. Apply a loose sterile dressing and notify the clinician
- A. Apply a loose sterile dressing and notify the clinician
- B. Pack the nostril firmly with gauze to stop the drainage
- C. Ask the patient to blow the nose to clear the passage
- D. Insert a nasogastric tube through the affected nostril
Explanation
Clear nasal drainage after head trauma may be cerebrospinal fluid and should be reported promptly. The nose must not be packed or blown, and nasal tube insertion may enter the cranial cavity when a skull-base fracture is present.
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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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