NR 325 ADULT HEALTH FINAL GUDE.| VERIFIED GUIDE

NR 325 ADULT HEALTH FINAL GUDE.| VERIFIED GUIDE 1. How does the nurse confirm a basal skull fracture when implementing evidence based practice? What is the nurses’ responsibility in each of these diagnosis? Types of skull fractures: linear or depressed, simple, comminuted or compound, open or closed. **Basilar fracture is a a specialized linear fracture involving the base of the skull (breaking of bones at the base of the skull.) Manifestations appear over several hours which include: cranial nerve deficits, Battle’s Sign (postauricular ecchymosis), periorbital ecchymosis (raccoon eyes). Fracture associated with a tear in the dura and leakage of CSF. Rhinorrhea(CSF leakage for the nose) and otorrhea(CSF leakage from the ear), this confirms the fracture has extended into the dura. CSF leakage=high risk meningitis and antibiotics should be given as preventative. Other Manifestations:bulging tympanic membrane caused by blood or CSF, tinnitus/hearing difficulty, facial paralysis, conjugate deviation gaze (both eyes are deviated in the same direction) and vertigo. TWO Diagnostic tests used to determine if CSF is leaking from nose or ear: if there is drainage. 1st: Dextrostix/Tes-Tape stripis used to determine if glucose is present **Remember CSF is loaded with glucose**. (If blood present testing is unreliable because blood also contains glucose. **Look for Halo Sign or Ring Sign**= by allowing the leaking