An emergency-department (ED) nurse is assessing a 20-year-old gymnast who fell from a balance beam. The gymnast presents with a clear fluid leaking from the nose. What should the ED nurse suspect?
A) Fracture of the cribiform plate
B) Potential loss of consciousness
C) Abrasion of the soft tissue
D) Fracture of the nasal septum
Ans: A
Feedback: Clear fluid from either nostril suggests a fracture of the cribiform plate with leakage of cerebrospinal fluid. There is no indication in the question that the client has lost consciousness. The symptoms are not indicative of an abrasion of the soft tissue, and clear fluid leakage from the nose would not be indicative of a fracture of the nasal septum.
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A. Advise her to stop the medication right away. B. Encourage her to find herbal substitutions. C. Have her call her primary care provider immediately. D. Tell her to cut the medication dose in half until she gives birth.
A graduate nurse is working with her preceptor in a long-term care facility. The graduate nurse asks her preceptor to list the most serious problems that she must watch out for in patients with dementia
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A client with diabetes mellitus recently discharged from the hospital calls the nursing unit to report that she is nauseated and cannot remember what she has to do about her insulin injection. The nurse should remind the client to
a. call the physician at once. b. omit her insulin until she is able to eat her normal diet. c. review the material she was given at the hospital. d. take her insulin and monitor her blood sugar frequently.
A child is seen in the health care clinic, and the nurse suspects the presence of pinworm infection (enterobiasis). The nurse instructs the mother as to how to obtain a cellophane tape rectal speci-men
Which of the following statements, if made by the mother, indicates an understanding of the correct procedure to obtain the specimen? 1. "I need to collect the specimen after I give my child a bath." 2. "I need to collect the first bowel movement of the day and place it in a sealed container." 3. "I need to place a piece of transparent cellophane tape lightly over the anal area as soon as my child awakens and bring it to the clinic for examination." 4. "I need to place a piece of transparent cellophane tape lightly over the anal area after my child has a bowel movement and bring it to the clinic for examination."