A child is unconscious after a motor vehicle accident. The watery discharge from the nose tests positive for glucose. The nurse should recognize that this suggests:
a. diabetic coma.
b. brainstem injury.
c. upper respiratory tract infection.
d. leaking of cerebrospinal fluid (CSF).
ANS: D
Watery discharge from the nose that is positive for glucose suggests leaking of CSF from a skull fracture and is not associated with diabetes or respiratory tract infection. The fluid is probably CSF from a skull fracture and does not signify whether the brainstem is involved.
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