Difficulty: Medium
Average Score: 76%
Full-length
A client who has sustained a basilar skull fracture exhibits blood-tinged drainage from his nose. After establishing a clear airway, administering supplemental O2, and establishing IV access, the next nursing intervention would be to:
Correct answer
D
Rationale
Testing the fluid from the nares would determine the presence of CSF. Basilar skull fractures may cause dural lacerations, leading to CSF leakage. Insertion of a tube, tamponading, or suctioning could worsen the problem or increase brain damage.