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:

Closing

The finalization or completion of a transaction, agreement, or period of time.

Expedite Delivery

A shipping or delivery service that is fast-tracked to ensure quicker than standard delivery times.

Standard Type

A classification or level of quality, often used as a benchmark for comparing similar items, services, or practices.

Capitalized

Describes assets or costs that are recorded as investments rather than expenses, affecting a company's balance sheet.