A nurse in an emergency department is assessing a client who has a nasal fracture. Which of the following findings should cause the nurse to suspect a skull fracture?

Clear fluid drainage from the nares

Report of pain around the eyes

Dried blood in the mouth

Mandibular asymmetry

Answer and Explanation

The Correct Answer is A

A. Clear fluid drainage from the nares: Clear, watery drainage following facial trauma can indicate cerebrospinal fluid (CSF) leakage, which is a hallmark sign of a basilar skull fracture. The presence of CSF raises concern for a more serious intracranial injury and requires immediate reporting and further evaluation.

B. Report of pain around the eyes: Periorbital pain is common with nasal fractures and facial trauma but is not specific for a skull fracture. While it warrants assessment, it does not suggest intracranial involvement or CSF leakage.

C. Dried blood in the mouth: Blood in the mouth may result from oral or nasal trauma and is expected with nasal fractures. It does not indicate a skull fracture unless accompanied by other neurological or cerebrospinal signs.

D. Mandibular asymmetry: Misalignment of the jaw is consistent with a mandibular fracture rather than a skull fracture. While it may be present in facial trauma, it does not indicate intracranial injury or CSF leakage.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Maintain foot above the level of the head: Elevating the foot above heart level, not the head, helps reduce swelling and promote venous return. Elevation above the head is unnecessary and may be uncomfortable or impractical.

B. Expect numbness and tingling for the first 24 hr: Persistent numbness or tingling is not a typical response to a sprain and may indicate neurovascular compromise. Any unusual sensations should be reported to a healthcare provider promptly.

C. Apply ice on the ankle for 20 min intervals: Applying ice for 20-minute intervals is a standard first-aid measure to reduce pain and swelling in acute sprains. Ice should be applied with a protective barrier to prevent skin damage, making this an essential component of home care.

D. Perform range of motion exercises for the affected joint: Early aggressive range of motion exercises may exacerbate the injury. Initial management focuses on rest, ice, compression, and elevation (RICE), with gradual mobilization introduced once acute pain and swelling decrease.

A. Varenicline B. Disulfiram C. Sertraline D. Clonidine

Correct Answer is C

Explanation

A. Varenicline: Varenicline is used to aid smoking cessation by reducing cravings and withdrawal symptoms. It does not have efficacy in treating gambling disorder and is not indicated for behavioral addictions.

B. Disulfiram: Disulfiram is prescribed for alcohol use disorder to discourage alcohol consumption by causing unpleasant reactions when alcohol is ingested. It does not address the underlying behavioral or psychological aspects of gambling disorder.

C. Sertraline: Sertraline, a selective serotonin reuptake inhibitor (SSRI), can help reduce compulsive behaviors, impulsivity, and anxiety associated with gambling disorder. It may be used as part of a comprehensive treatment plan alongside therapy and behavioral interventions.

D. Clonidine: Clonidine is primarily used to treat hypertension, ADHD, and certain withdrawal symptoms. It does not target the compulsive behaviors or psychological aspects of gambling disorder and is not indicated for this purpose.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse in an emergency department is assessing a client who has a nasal fracture. Which of the following findings should cause the nurse to suspect a skull fracture?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in the emergency department is providing discharge teaching to a client who has a sprained ankle. Which of the following should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse is caring for a client who is requesting treatment for a gambling disorder. Which of the following medications should the nurse expect the provider to prescribe?

Correct Answer is C

Explanation

Exhibits A nurse is providing care for a preschooler who has acute gastroenteritis. Which of the following actions should the nurse take? (Click on the exhibit tabs for additional information about the client. There are three tabs that contain separate categories of data.)

A nurse is assessing a client who has COPD and experienced recent weight loss. Which of the following findings should the nurse report provider immediately?

A nurse is caring for a group of clients. Which of the following tasks should the nurse delegate to an assistive personnel? (Select all that apply.)

A nurse is teaching a client who is to start taking phenelzine for major depressive disorder. Which of the following foods should the nurse teach the client to avoid consuming while taking this medication?

A nurse is caring for a 7-year-old child who has severe dehydration. Which of the following findings should the nurse expect?

A nurse is preparing to administer ondansetron 0.15 mg/kg IV bolus every 4 hr. The client weighs 41 kg (92 lb). How many mg should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse delegates tasks to a licensed practical nurse (LPN) and an assistive personnel (AP). When admitting a client who is experiencing acute liver failure and who has ascites and an NG tube, which of the following tasks is most appropriate for the nurse to delegate to the LPN?

A nurse at a public health clinic is caring for a group of clients. Which of the following should the nurse identity as a reportable diagnosis to the CDC?