The Nurse Notes That a Patient with a Head Injury

question 15

Multiple Choice

The nurse notes that a patient with a head injury has a clear nasal drainage. The most appropriate nursing action for this finding is to

• A) obtain a specimen of the fluid and send for culture and sensitivity.
• B) take the patient's temperature to determine whether a fever is present.
• C) check the nasal drainage for glucose with a Dextrostik or Testape.
• D) have the patient to blow the nose and then check the nares for redness.

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