NCLEX National Council Licensure Examination(NCLEX-RN) NCLEX-RN Question # 184 Topic 19 Discussion
NCLEX-RN Exam Topic 19 Question 184 Discussion:
Question #: 184
Topic #: 19
The nurse is caring for a 2-year-old girl with a subdural hematoma of the temporal area as a result of falling out of bed and notices that she has a runny nose. The nurse should:
(A) The nasal discharge could be due to a cold. It is necessary to gather additional assessment data to identify a possible cerebrospinal fluid leak. (B) If the discharge is cerebrospinal fluid, it would not be safe to encourage the girl to blow her nose. (C) Cerebrospinal fluid is positive for sugar; mucus is not. (D) Turning her to her side will have no effect on her “runny nose.” It is necessary to gather further assessment data.
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