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 B
Explanation
Choice A: Pressure ulcer is not the most serious complication of a patient with altered level of consciousness, but rather a common and preventable complication that can cause skin breakdown, infection, and pain.
Choice B: Aspiration is the most serious complication of a patient with altered level of consciousness, as it can cause pneumonia, respiratory failure, and death.
Choice C: Contractures is not the most serious complication of a patient with altered level of consciousness, but rather a potential and reversible complication that can cause muscle stiffness, joint deformity, and reduced mobility.
Choice D: Deep vein thrombosis is not the most serious complication of a patient with altered level of consciousness, but rather a possible and treatable complication that can cause blood clots, swelling, and pain in the legs.
Correct Answer is B
Explanation
Choice A: High blood pressure is not a side effect of IV Thrombolytic therapy TPA, but rather a contraindication or a reason not to use it. TPA can increase the risk of bleeding in patients with high blood pressure.
Choice B: Bleeding is the main side effect of IV Thrombolytic therapy TPA, as it dissolves blood clots and can cause bleeding in the brain or other parts of the body.
Choice C: Confusion is not a side effect of IV Thrombolytic therapy TPA, but rather a symptom of stroke. TPA can improve confusion by restoring blood flow to the brain.
Choice D: All of the above is not correct, as only bleeding is a side effect of IV Thrombolytic therapy TPA.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today