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    HESI RN Exit Proctored ExamQuestion 114
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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

    Rhinorrhea refers to the drainage of a clear fluid from the nose. When caring for a client following a head injury, the nurse should observe for rhinorrhea specifically at the nose. This is because the fluid leaking from the nose could potentially be cerebrospinal fluid (CSF), indicating a possible skull fracture or other serious head injury.

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