The nurse is caring for a client with a head injury after a fall from a hayloft. Which of the following indicates the presence of leaking of cerebral spinal fluid (CSF)?

Swelling.

Change in the level of consciousness (LOC).

Signs of increased intracranial pressure (ICP).

Halo sign.

Answer and Explanation

The Correct Answer is D

Halo sign. The presence of clear fluid with a yellowish ring around it (Halo sign) on the client's bed linens, tissues, or skin may indicate the presence of leaking of cerebral spinal fluid (CSF).

Swelling, choice A, change in the level of consciousness (LOC), choice B, and signs of increased intracranial pressure (ICP), choice C, may be indicative of a head injury, but do not specifically indicate the presence of leaking of CSF.

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Correct Answer is C

Explanation

Contusion. The nurse would suspect a contusion as the client was hit by a baseball bat and has localized pain and swelling with ecchymosis (bruising).

Option A, Strain, is unlikely as a strain is a stretching or tearing of a muscle or tendon, and it is not usually caused by blunt force trauma.

Option B, Sprain, is unlikely as a sprain is a stretching or tearing of a ligament, and it is not usually caused by blunt force trauma.

Option D, Fracture, is unlikely as a fracture is a break in the bone and usually involves more severe pain and may be accompanied by deformity.

A. It is a chronic, infectious inflammatory disease. B. It is characterized by patches of redness covered with silvery scales. C. A cure is possible with prompt treatment. D. The onset typically occurs in young children

Correct Answer is B

Explanation

It is characterized by patches of redness covered with silvery scales. Psoriasis is a chronic autoimmune disorder that causes patches of red, inflamed skin covered with silvery scales.

Choice A, It is a chronic, infectious inflammatory disease is incorrect as psoriasis is not caused by an infection.

Choice C, A cure is possible with prompt treatment is incorrect as there is no cure for psoriasis, but symptoms can be managed with treatment.

Choice D, The onset typically occurs in young children is incorrect as psoriasis can occur at any age.

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The nurse is caring for a client with a head injury after a fall from a hayloft. Which of the following indicates the presence of leaking of cerebral spinal fluid (CSF)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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