A patient who has sustained a basal skull fracture is admitted to your unit. You know that the patient should be observed for what?

A) An area of bruising over the mastoid bone
B) Bleeding from the ears
C) An increase in pulse
D) Difficulty sleeping


Ans: B

Feedback: Fractures of the base of the skull tend to traverse the paranasal sinus of the frontal bone; thus, they frequently produce hemorrhage from the nose, pharynx, or ears. Bruising over the mastoid bone and difficulty sleeping may occur in this patient, but are not areas to be observed for. An increase in pulse would be noted when vital signs are assessed.

Nursing

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