Difficulty: Medium
Average Score: 79%
Simulated
A nurse in an emergency department is assessing a client who has a basilar skull fracture and serosanguineous nasal discharge following a motor vehicle crash. Which of the following findings should the nurse identify as reliable for determining that the discharge is cerebrospinal fluid?
Correct answer
B
Rationale
The halo sign reliably indicates cerebrospinal fluid leakage in basilar skull fractures.