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NCLEX-RN · Question #52

NCLEX-RN Question #52: Real Exam Question with Answer & Explanation

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Question

A client who has sustained a basilar skull fracture exhibits blood-tinged drainage from his nose. After establishing a clear airway, administering supplemental O2, and establishing IV access, the next nursing intervention would be to:

Options

  • APass a nasogastric tube through the left nostril
  • BPlace a 4 X 4 gauze in the nares to impede the flow
  • CGently suction the nasal drainage to protect the airway
  • DPerform a halo test and glucose level on the drainage

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