The Nurse Assesses a Patient with a Temporal Bone Fracture

question 30

Multiple Choice

The nurse assesses a patient with a temporal bone fracture and notices drainage from the right nostril. Based on this assessment, which nursing diagnosis should the nurse document as priority?

• A) Risk for Pain
• B) Risk for Impaired Sensory Input
• C) Ineffective Airway Clearance
• D) Potential for Infection

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Definitions:

Social-cognitive

Pertaining to the understanding of social interactions and the processing of social information through learning, observation, and cognition.

Cognitive Ability

The capacity to perform higher mental processes of reasoning, remembering, understanding, and problem solving.

Continuous Change

A process where variables or conditions evolve over time without abrupt interruptions.

Discontinuous Change

Abrupt, non-linear transformations in development or processes that can significantly alter conditions or outcomes.