NEUROLOGY
HEMIPARESIS
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Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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The nurse reviews the physician’s emergency department progress notes for the client who sustained a head injury and sees that the physician observed the Battle sign. The nurse knows that the physician observed which clinical manifestation?
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Escape of cerebrospinal fluid from the client’s ear
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Escape of cerebrospinal fluid from the client’s nose
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An area of bruising over the mastoid bone
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A bloodstain surrounded by a yellowish stain on the head dressing
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Explanation:
Detailed explanation-1: -Clinical signs of a basilar skull fracture are mastoid bruising (Battle sign) and periorbital bruising (raccoon sign).
Detailed explanation-2: -A Battle sign, or Battle’s sign, is a bruise that indicates a fracture at the bottom of the skull.
Detailed explanation-3: -Basilar skull fracture. Patients with this type of fracture frequently have bruises around their eyes and a bruise behind their ear. They may also have clear fluid draining from their nose or ears due to a tear in part of the covering of the brain. These patients usually require close observation in the hospital.
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