A nurse is caring for a child and notes Battle's sign during the assessment. Which action by the nurse is the most appropriate?
A.
Assist with obtaining laboratory studies.
B.
Document the findings in the child's chart.
C.
Measure the child's abdominal girth.
D.
Notify the provider and facilitate a CT or an MRI.
ANS: D
Battle's sign is indicative of a basilar skull fracture. The child will need a head CT or an MRI. The other actions are not needed as a result of this finding.
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