Nursing Assessment Basal Skull Fracture
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Questions and Answers

What is the initial step a nurse should take for a wound with potential foreign bodies?

  • Perform a deep cleansing of the wound.
  • Encourage the wound to bleed. (correct)
  • Apply an antibiotic ointment.
  • Sew the wound shut immediately.
  • What is the recommended action to manage excess skin around a wound?

  • Cut it using a scalpel. (correct)
  • Apply a compress to keep it flat.
  • Use adhesive strips to secure it.
  • Leave it as is to prevent infection.
  • What assessment should the nurse anticipate for a patient with a basal skull fracture?

  • Increased intracranial pressure. (correct)
  • Potential spinal cord injury.
  • Circulation issues in the extremities.
  • Respiratory complications.
  • What type of dressing should be applied after managing a wound?

    <p>Dry dressing.</p> Signup and view all the answers

    What is a vital consideration when treating a wound on a patient with a basal skull fracture?

    <p>Minimizing movement to prevent further injury.</p> Signup and view all the answers

    What symptom indicates that a patient may have a problem related to leg circulation?

    <p>Tightness and pain in the leg</p> Signup and view all the answers

    Which of these conditions is characterized specifically by inflammation of the gallbladder?

    <p>Cholecystitis</p> Signup and view all the answers

    What might elevation of a patient's foot indicate?

    <p>An attempt to relieve pain</p> Signup and view all the answers

    Which option correctly describes one of the causes of acute cholecystitis?

    <p>Obstruction by gallstones</p> Signup and view all the answers

    Which statement accurately defines cholecystitis?

    <p>Inflammation of the gallbladder</p> Signup and view all the answers

    Study Notes

    Wound Management

    • Encourage bleeding to help remove foreign bodies in wounds.
    • Excess skin should be trimmed with a scalpel before applying a dry dressing.

    Basal Skull Fracture Assessment

    • Anticipate symptoms including discomfort and itching reported by the patient.
    • Possible leg complaints include tightness and pain, along with the observation of an elevated foot on a pillow.

    Cholecystitis Definition

    • It is characterized by the presence of gallstones, potentially leading to conditions involving obstructive stones in the common bile duct.

    Nursing Interventions for Vascular Disease

    • For a 74-year-old patient with vascular disease, encouraging avoidance of caffeine and nicotine is beneficial.
    • Advising the use of knee-length stockings supports venous return and reduces complications.

    Accurate Blood Pressure Measurement

    • Insert the diaphragm of the stethoscope under the blood pressure cuff for proper auscultation.
    • The sphygmomanometer should be positioned at heart level to ensure accurate readings.
    • Active listening is crucial during the measurement process to catch the Korotkoff sounds accurately.

    Care Planning for Life-Changing Illness

    • Prioritize assessment for emotional responses: anger, apathy, anorexia, and euphoria, with specific focus on managing anger as a primary reaction.

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    Description

    This quiz focuses on nursing assessment and intervention strategies for patients with basal skull fractures. It covers best practices for managing potential complications and ensuring patient safety. Test your knowledge on the necessary procedures and assessments related to head injuries.

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