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.