A child has sustained a basilar skull fracture. The priority the nurse should watch for is
1. cerebral-spinal-fluid leakage from thenose or ears.
2. headache.
3. transient confusion.
4. periorbital ecchymosis.
Answer:1
Rationale:Cerebral-spinal-fluid leakage could be present from the nose or ears and if it persists may indicate that surgical repair will be needed.Headache, transient confusion,and periorbital ecchymosis are findings that commonly present with a basilar skull fracture but do not indicate that surgical repair will be needed.
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