A nurse receives a report on a client with a basilar skull fracture. What findings should the nurse expect with this client?
Bruising over the mastoid process
Pooling of blood and edema around the eyes
Ability to recall how the injury occurred
Chvostek’s sign
The Correct Answer is A
Choice A rationale
Bruising over the mastoid process, also known as Battle’s sign, is a classic clinical sign of a basilar skull fracture.
Choice B rationale
Pooling of blood and edema around the eyes, or ‘raccoon eyes’, is another sign of a basilar skull fracture.
Choice C rationale
The ability to recall how the injury occurred is not directly related to the presence of a basilar skull fracture. Memory loss or confusion could be symptoms of a traumatic brain injury, but they are not specific to a basilar skull fracture.
Choice D rationale
Chvostek’s sign is a clinical sign of hypocalcemia, not a basilar skull fracture
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Parkinson’s disease is a neurodegenerative disorder that affects movement, but it is not a known risk factor for subarachnoid hemorrhage (SAH)10111213.
Choice B rationale
Alzheimer’s disease is a type of dementia that affects memory, thinking, and behavior, but it is not a known risk factor for SAH10111213.
Choice C rationale
Being male is not a specific risk factor for SAH. Both men and women can be affected by this condition.
Choice D rationale
Marfan’s syndrome is a genetic disorder that affects the body’s connective tissue. People with Marfan’s syndrome have a higher risk of developing aneurysms, including those in the brain, which can lead to SAH10111213. Cerebral edemaCerebral edema Explore
Correct Answer is A
Explanation
Choice A rationale
Anhidrosis, or the inability to sweat normally, is a potential side effect of anticholinergic agents. These medications block the action of acetylcholine, a neurotransmitter that stimulates sweat glands among other functions. If a patient taking an anticholinergic agent for Parkinson’s disease experiences anhidrosis, they should report it to their healthcare provider as it can lead to overheating and heat stroke.
Choice B rationale
Tremors are a common symptom of Parkinson’s disease, and anticholinergic medications are often used to help control them. Therefore, while tremors should be monitored, they are not typically a side effect that needs to be reported unless they worsen or become unmanageable.
Choice C rationale
Drooling can be a symptom of Parkinson’s disease, but it is not typically a side effect of anticholinergic medications. In fact, these medications can sometimes cause dry mouth.
Choice D rationale
Rigidity, like tremors, is a common symptom of Parkinson’s disease. Anticholinergic medications can help manage rigidity, so it is not typically a side effect that needs to be reported unless it worsens.
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