While reviewing the clinical history of a client with brain injury, the nurse finds that there is a periorbital ecchymosis, which is referred to as raccoon eyes. The client also has leakage of cerebrospinal fluid (CSF) from the nose. Which fracture should the nurse suspect in the client?

Depressed fracture

Basilar skull fracture

Linear fracture

Frontal fossa fracture

Answer and Explanation

The Correct Answer is B

Choice A rationale: Often results from direct trauma to the skull, but not typically associated with CSF leakage or raccoon eyes.

Choice B rationale: Basilar skull fractures, particularly involving the anterior or middle fossa, can lead to CSF leakage from the nose (rhinorrhea) and periorbital ecchymosis (raccoon eyes).

Choice C rationale: A simple fracture line without displacement, less likely to cause CSF leakage and raccoon eyes.

Choice D rationale: Less commonly associated with CSF leakage and periorbital ecchymosis compared to basilar skull fractures.

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Correct Answer is A

Explanation

Choice A rationale: Propranolol, a beta-blocker used for high blood pressure and other cardiovascular conditions, is known to have potential side effects of sexual dysfunction, including erectile dysfunction (ED).

Choice B rationale: Ranitidine (Zantac) is an H2 blocker used for acid reflux and isn't typically associated with causing ED.

Choice C rationale: Atorvastatin (Lipitor), a statin used for high cholesterol, isn't commonly associated with causing ED.

Choice D rationale: Metformin (Glucophage), used for type 2 diabetes, is not typically linked to causing ED.

A. Fruity breath, tachypnea, chest pain. B. Oliguria, polydipsia, polyphagia. C. Sweating, cold, trembling, tachycardia. D. Nausea, vomiting, anorexia.

Correct Answer is C

Explanation

Choice A rationale: These symptoms are more indicative of diabetic ketoacidosis, not hypoglycemia.

Choice B rationale: Symptoms of increased urination, thirst, and hunger are more associated with hyperglycemia, not hypoglycemia.

Choice C rationale: These are classic signs of hypoglycemia and should be described to the client for early recognition and intervention.

Choice D rationale: These symptoms can occur in hypoglycemia but are less specific compared to sweating, cold, trembling, and tachycardia.

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While reviewing the clinical history of a client with brain injury, the nurse finds that there is a periorbital ecchymosis, which is referred to as raccoon eyes. The client also has leakage of cerebrospinal fluid (CSF) from the nose. Which fracture should the nurse suspect in the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 49-year-old man who has type 2 diabetes, high blood pressure, hyperlipidemia, and gastroesophageal reflux tells the nurse that he has had recent difficulty in achieving an erection. Which of the following drugs from his current medications list may cause erectile dysfunction (ED)?

Correct Answer is A

Explanation

The nurse is preparing a teaching plan for a client who is newly diagnosed with Type 1 diabetes mellitus. Which signs and symptoms should the nurse describe when teaching the client about hypoglycemia?

Correct Answer is C

Explanation

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