After being hit by a baseball, a patient arrives in the emergency department with a possible nasal fracture. Which finding by the nurse is most important to report to the health care provider?
a. Clear nasal drainage
b. Complaint of nasal pain
c. Bilateral nose swelling and bruising
d. Inability to breathe through the nose
ANS: A
Clear nasal drainage may indicate a meningeal tear with leakage of cerebrospinal fluid. This would place the patient at risk for complications such as meningitis. The other findings are typical with a nasal fracture and do not indicate any complications.
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The nurse should recognize the greatest risk for the development of blindness in which of the following patients?
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