NEUROLOGY
HEMIPARESIS
|
Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
|
The nurse learns a client was reported to have a history of basilar skull fracture with otorrhea. What assessment finding does the nurse anticipate?
|
|
The client has ecchymosis in the periorbital region.
|
|
|
The client has an elevated temperature.
|
|
|
The client has cerebral spinal fluid (CSF) leaking from the ear.
|
|
|
The client has serous drainage from the nose.
|
Explanation:
Detailed explanation-1: -Clinical features of basilar skull fractures vary depending on the degree of the associated brain and cranial nerve injury. Patients may present with altered mental status, nausea, and vomiting. Oculomotor deficits due to injuries to cranial nerves III, IV, and VI may be present.
Detailed explanation-2: -Note any periorbital bruising (raccoon sign), mastoid bruising (Battle sign), hemotympanum, otorrhea, or rhinorrhea; these findings suggest basilar skull fracture. A neurologic examination should focus on extraocular movements, motor strength, reflexes, pain sensation and proprioception, station, and gait.
There is 1 question to complete.