The nursing action contraindicated in the care of a client with a severe basilar skull fracture is
a. nasal suctioning.
b. pharyngeal suctioning.
c. raising the head of his bed.
d. tooth brushing.
A
Never suction the nasal passages in the client with a basilar skull fracture or facial fractures because the suction catheter can enter the cranial cavity.
You might also like to view...
Patients who are restrained are more likely to have less serious injuries than those that are not restrained
A) True B) False
A client who has had persistent vomiting for four days has been admitted to the unit. The nurse determines that the best position for this client is which of the following?
1. Right Sims position 2. Left side lying position 3. Semi-Fowler's position 4. Prone position
The nurse is talking with the client who was admitted for surgery due to duodenal ulcer disease. The client asks what can be done to reduce the risk of getting more ulcer. What would be the best response?
A) There is evidence that a diet without caffeine may reduce the risk of duodenal ulcers. B) Leave chocolate out of the diet. C) There is evidence that a diet high in soluble fiber may reduce the risk of duodenal ulcers. D) Limit the intake of alcohol.
To determine a patient's pulse deficit, count the apical pulse with a stethoscope over the apex of the heart and count the pulse rate at the radial pulse at the same time
True False