The Emergency Room Nurse Is Assessing a Newly Admitted Patient

Multiple Choice

The emergency room nurse is assessing a newly admitted patient with a head injury.The nurse observes clear drainage from the nose.Which action should the nurse perform first?

A) Document the presence of rhinorrhea.
B) Inform the physician of the assessment.
C) Test the fluid with a Dextrostix.
D) Tape a drip pad under the nose.