What sign/symptom of a patient would cause the nurse to suspect cerebral spinal fluid leakage?
Altered level of consciousness
Painful headache
Salty taste in their mouth, postnasal drip or clear fluid draining from the nose
All of the above
The Correct Answer is C
Choice A: Altered level of consciousness is not a sign/symptom of cerebral spinal fluid leakage, but rather a sign/symptom of increased intracranial pressure or brain injury.
Choice B: Painful headache is not a sign/symptom of cerebral spinal fluid leakage, but rather a sign/symptom of meningitis or sinusitis.
Choice C: Salty taste in their mouth, postnasal drip or clear fluid draining from the nose is a sign/symptom of cerebral spinal fluid leakage, as it indicates that the fluid is escaping from the brain or spinal cord through a tear or hole in the meninges or skull.
Choice D: All of the above is not correct, as only choice C is a sign/symptom of cerebral spinal fluid leakage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A: Nutrition supplements is not a direct intervention for maintaining skin integrity, but rather a general measure to support the patient's overall health and healing.
Choice B: Consulting speech therapy is not relevant for maintaining skin integrity, but rather for addressing the patient's communication and swallowing needs.
Choice C: Assessing the skin and frequent repositioning is a correct intervention for maintaining skin integrity, as it can prevent pressure ulcers or bedsores by reducing friction, shear, and moisture on the skin.
Choice D: Ambulating the patient as much as possible is not a specific intervention for maintaining skin integrity, but rather a general measure to promote the patient's mobility and circulation.
Correct Answer is D
Explanation
Choice A: Antihypertensive medication lowers blood pressure, which reduces the risk of stroke caused by high blood pressure or hypertension.
Choice B: Anti-cholesterol medication lowers the level of cholesterol in the blood, which reduces the risk of stroke caused by atherosclerosis or plaque buildup in the arteries.
Choice C: Antiplatelet medication prevents blood clots from forming, which reduces the risk of stroke caused by ischemia or blockage of blood flow to the brain.
Choice D: All of the above medications are used to treat and prevent strokes, as they address different risk factors and causes of stroke.
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