Nursing · Perioperative Nursing
A nurse is caring for a patient after a transsphenoidal hypophysectomy. The nurse notes clear, watery drainage from the nostril. What should be the nurse's priority initial action to assess for a cerebrospinal fluid (CSF) leak?
Verified Solution4 OptionsUpdated: October 2026👁️1 View
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- 1Lower the head of the bed to a flat position
- 2Test the drainage fluid for the presence of glucose✓
- 3Send the drainage immediately for microbial culture
- 4Continue to monitor the drainage color and amount only
Correct answer
Test the drainage fluid for the presence of glucose
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