What physical condition does this picture depict, and why is it a significant finding in a
patient with a BSF?
What will be an ideal response?
The term raccoon eyes is frequently used when describing someone who has a BSF. Raccoon eyes
are indicative of an anterior fossa fracture (fracture of the paranasal sinuses) allowing blood to
leak out and pool around the eyes, darkening the area and creating an appearance similar to a
raccoon's eyes.
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The physician stands in the hallway speaking to the nurses in a loud voice saying, "I don't know why you nurses don't follow the orders I've written. Can't you read?" Which response by the nurse demonstrates assertiveness? (Select all that apply)
1. "You're such a jerk. Lower your voice!" 2. "We are all professionals here and there is no need to shout." 3. "I know you're angry but your behavior is inappropriate." 4. "If you would like to discuss the problem professionally we'll be glad to listen." 5. "If you treat your wife like this I know why you're getting a divorce."
Which action should a nurse take 30 minutes after administering oral pain medication to a patient?
A. Evaluate the effectiveness of the administered pain medication B. Teach progressive relaxation strategies to relieve muscle tension C. Assess the patients coping skills to reduce expression anxiety. D. Encourage the patient to read or watch tv to provide pain distraction
The time interval between invasion by an infectious agent and the first appearance of signs and symptoms of the disease is called:
1. Communicable period 2. Incubation period 3. Infectiousness 4. Pathologic reaction
A 19-year-old client has been admitted to the ED after snorting heroin with her boyfriend. She has pinpoint pupils and is unconscious. The client's priority nursing diagnosis is:
1. Ineffective breathing pattern 2. Risk for imbalanced fluid volume 3. Impaired physical mobility 4. Disturbed sensory perception