The nurse is caring for a patient who sustained blunt trauma to the face from an altercation. He presents with ecchymosis in the periorbital areas, epistaxis, and difficulty articulating speech. Rhinorrhea is clear and bilateral. Which of the following is the most concerning finding that requires immediate intervention?
The presence of clear rhinorrhea following blunt trauma to the face may indicate a basilar skull fracture with a possible cerebrospinal fluid leak, which is a serious condition that requires immediate intervention to prevent complications such as infection. While periorbital ecchymosis (commonly known as 'raccoon eyes') and epistaxis may also accompany facial trauma, they are not as acutely concerning as a potential CSF leak. Difficulty articulating speech, while important to address, is not as critical as securing the integrity of the cranial vault and preventing central nervous system infection.
Ask Bash
Bash is our AI bot, trained to help you pass your exam. AI Generated Content may display inaccurate information, always double-check anything important.
What is clear rhinorrhea and why is it significant after facial trauma?
Open an interactive chat with Bash
What are the symptoms of a basilar skull fracture?
Open an interactive chat with Bash
What steps should be taken if a CSF leak is suspected?
Open an interactive chat with Bash
BCEN CEN
Maxillofacial and Ocular Emergencies
Your Score:
Report Issue
Bash, the Crucial Exams Chat Bot
AI Bot
Loading...
Loading...
Loading...
Nursing and Medical Assistants Package Join Premium for Full Access