Identify the Nursing Action That Is Most Appropriate When the Nurse

Multiple Choice

Identify the nursing action that is most appropriate when the nurse assesses a small amount of clear, watery fluid oozing from the nose of a client who received a blow to the head in a barroom fight.

A) Encourage the client to blow his nose to clear the sinuses.
B) Use a dipstick to test the drainage for glucose.
C) Keep the client's head flat.
D) Ask the client about what type of object he was struck with.