The nurse takes report on a client who was admitted with a severe heada
che, nausea, vomiting, photophobia, and a stiff neck. Which of the following is the priority intervention for the nurse to perform?
Prepare the client for a MRI
Monitor for increased intracranial pressure
Administer penicillin
Identify if the client has had a recent respiratory illness
The Correct Answer is C
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
No explanation
Correct Answer is C
Explanation
Bruising over the cheek is a sign of facial trauma, not basilar skull fracture.
Missing teeth is a sign of dental injury, not basilar skull fracture.
Discoloration behind the left ear, also known as Battle's sign, is a sign of basilar skull fracture, as blood accumulates in the mastoid process due to a fracture in the temporal bone.
Bleeding from the nose is a sign of nasal trauma, not basilar skull fracture.
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