Which of the following interventions would not be appropriate for a patient who is admitted with a suspected basilar skull fracture?
a. Insertion of a nasogastric tube
b. Insertion of an indwelling urinary catheter
c. Endotracheal intubation
d. Placement of an oral airway
A
Nasogastric tubes are contraindicated in basilar skull fractures because insertion may result in penetration of the meninges. An indwelling urinary catheter may be necessary to monitor fluid balance. Protection of the airway to include placement of an oral airway or endotracheal tube may be indicated.
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