A school-age client sustains a basilar skull fracture. Which symptom is a priority for this nurse to assess for when providing care to this client?
1. Cerebral spinal fluid leakage from the nose or ears
2. Headache
3. Transient confusion
4. Periorbital ecchymosis
Correct 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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