Question

The nurse is assigned to care for an 8-year-old child with a diagnosis of a basilar skull fracture. The nurse reviews the health care provider's (HCPs) prescriptions and should contact the HCP to question which prescription?

A. Administering antipyretics for fever
B. Encouraging coughing and deep breathing exercises
C. Maintaining the head of the bed in an elevated position
D. Administering nasal decongestants

Answer 1

The nurse should question the prescription for administering nasal decongestants for a patient with a basilar skull fracture as it may lead to complications like CSF leakage and infection.

Step-by-step explanation:

The nurse should contact the healthcare provider to question the prescription for administering nasal decongestants. With a diagnosis of a basilar skull fracture, it's essential to avoid any actions that could increase intracranial pressure or potentially cause more damage. Actions such as blowing the nose, which may be encouraged by administering nasal decongestants, can increase the risk of cerebrospinal fluid (CSF) leakage through the sinus and nasal passages, potentially leading to serious complications like infection.

Administering antipyretics for fever, encouraging coughing and deep breathing exercises (with caution to avoid straining), and maintaining the head of the bed in an elevated position are generally safe and appropriate actions for a patient with a basilar skull fracture. These measures help manage symptoms and prevent complications such as pneumonia or increased intracranial pressure.