Which is the correct point on the accompanying figure where the nurse will assess for ecchymosis when admitting a patient with a basilar skull fracture?
a. A
b. B
c. C
d. D
ANS: D
Point D, the periorbital and postauricular areas, should be selected. Battle's sign and periorbital ecchymoses are associated with basilar skull fracture.
You might also like to view...
During a chest tube insertion, which actions are appropriate for the nurse to complete?
Select all that apply. 1. Provide emotional support to the client. 2. Monitor the client's condition and reaction to the procedure. 3. Dress the insertion site. 4. Prepare the equipment. 5. Insert the chest tube.
A nursing student is preparing to administer a prescribed drug to a patient. The student reviews information about the drug and its actions. Which of the following would be the best choice for obtaining this information? Select all that apply
A) Nursing instructor B) Nurse assigned to the patient C) Clinical drug reference D) Prescribing health care provider E) Clinical pharmacist
The nurse cautions that constant stress can cause an alteration to the GI system, which can result in:
a. slowed GI mobility resulting in constipa-tion. b. reversed peristalsis resulting in projectile vomiting. c. increased digestive juices resulting in a gastric ulcer. d. decreased digestive juices resulting in in-effective metabolism.
The wife of a patient tells the home health nurse that she suspects her husband has sleep apnea because he __________. (Select all that apply.)
a. snores loudly b. interrupts snoring with several seconds of silence c. complains of daytime drowsiness d. frequently is incontinent of urine e. has episodes of myoclonus