Final answer:
Apply bulky, loose dressing to the affected areas to allow proper drainage and prevent exacerbation. It avoids increasing intracranial pressure or interfering with the drainage of cerebrospinal fluid. So, correct option is (c).
Step-by-step explanation:
If a nurse detects blood-tinged fluid leaking from the nose and ears of a head trauma client, the appropriate nursing action is C) Apply bulky, loose dressing to nose and ears. This is advised because packing the nose and ears with sterile gauze (A) can increase intracranial pressure and may interfere with the drainage of cerebrospinal fluid (CSF), which could be indicated by the blood-tinged fluid.
Action B, applying pressure to the injury site, should be avoided to prevent exacerbation of the injury or an increase in intracranial pressure. Applying an ice pack to the back of the neck (D) is not the immediate response to CSF leakage and does not address the issue at the site of the leak.
It's crucial to handle such a situation with care, monitoring for changes in neurological status, and preparing to transport the client for further medical evaluation if necessary. Protecting the airway and preventing infection are also key considerations in managing head trauma with fluid leakage.