Ati lpn med surg exam
Ati lpn med surg exam ( 53 Questions)
A nurse has received report on a client who has a basilar skull fracture. Which of the following findings should the nurse anticipate with this client?
Clients with a basilar skull fracture may experience confusion or memory loss regarding the injury, making them unable to recall how it occurred.
Pooling of blood around the eyes, known as "raccoon eyes," is a common sign of a basilar skull fracture.
Bruising over the mastoid process (Battle's sign) is another classic sign of a basilar skull fracture, indicating trauma to the base of the skull.
Chvostek's sign is associated with hypocalcemia, not basilar skull fractures.
A. Clients with a basilar skull fracture may experience confusion or memory loss regarding the injury, making them unable to recall how it occurred.
B. Pooling of blood around the eyes, known as "raccoon eyes," is a common sign of a basilar skull fracture.
C. Bruising over the mastoid process (Battle's sign) is another classic sign of a basilar skull fracture, indicating trauma to the base of the skull.
D. Chvostek's sign is associated with hypocalcemia, not basilar skull fractures.