A child has sustained a basilar skull fracture. For which complication should the nurse assess?
1. Cerebral spinal fluid leakage from the nose or ears
2. Headache
3. Transient confusion
4. Periorbital ecchymosis
1
Rationale:
1. Cerebral spinal fluid leakage could be present from the nose or ears, and if it persists, might indicate that surgical repair will be needed.
2. Headache is a finding that is common with a basilar skull fracture but does not indicate that surgical repair will be needed.
3. Transient confusion is a finding that is common with a basilar skull fracture but does not indicate that surgical repair will be needed.
4. Periorbital ecchymosis is a finding that is common with a basilar skull fracture but does not indicate that surgical repair will be needed.
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