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    Hesi rn exit proctored exam

    In caring for a client following a head injury, the nurse plans to assess for rhinorrhea so that a sample can be tested for the presence of cerebrospinal fluid (CSF). At which location should the nurse observe for this finding? (Click the chosen location. To change, click on the new location.)

    Explanation & Rationale

    Rationale: Rhinorrhea, or the leakage of cerebrospinal fluid (CSF) from the nose, can occur when there is a defect in the skull base following a head injury. The nurse should observe for clear, watery drainage from the nasal cavity, particularly from one nostril, as CSF rhinorrhea typically presents as a unilateral discharge

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