Which patient requires the most immediate intervention by the nurse?
1. A patient with a mandibular fracture who has facial numbness and tingling
2. A patient with a fractured nasal bone experiencing a nosebleed
3. A patient with a maxillary fracture who has been swallowing frequently
4. A patient with a temporal bone fracture experiencing hearing loss
3
Rationale 1: Numbness and tingling in the patient with a mandibular fracture are expected and transient as the edema of the trigeminal facial nerves dissipates.
Rationale 2: This patient is not in as great a danger of hemorrhage as is another patient.
Rationale 3: This patient is experiencing increased bleeding. This is likely to quickly cause airway obstruction and hemorrhage, especially if a Le Fort III maxillary fracture is suspected.
Rationale 4: Transient hearing loss is common with temporal bone fractures, as these fractures frequently affect the tympanic membrane.
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