The Nurse Is Assessing a 16-Year-Old Patient Who Has Suffered

question 9

Multiple Choice

The nurse is assessing a 16-year-old patient who has suffered head injuries from a recent motor vehicle accident. Which of these statements indicates the most important reason for assessing for any drainage from the ear canal?

• A) The auditory canal may be occluded from increased cerumen.
• B) If the drum has ruptured, then purulent drainage will result.
• C) Bloody or clear watery drainage can indicate a basal skull fracture.
• D) Foreign bodies from the accident may cause occlusion of the ear canal.

Recognize the significance of client history in neurological assessments.

Distinguish between normal and pathological neurological findings.

Understand the reflex action and its importance in neurological assessment.

Grasp the impact of sensory deficits on client safety and quality of life.

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Definitions:

Bone Scan

A diagnostic imaging test that uses a small amount of radioactive material to detect abnormalities or changes in the bones.

CT Scan

A medical imaging procedure that combines multiple X-ray measurements to create detailed cross-sectional images of the body.

X-ray

A type of radiation used in medical imaging to view internal structures of the body.

Congenital Hip Dysplasia

A birth defect where the hip joint has not formed properly, which may lead to dislocation or problems with walking.