How should a nurse manage clear fluid draining from a client's nose after a head injury?

The management of clear fluid draining from a client's nose after a head injury requires careful assessment for potential cerebrospinal fluid (CSF) leakage, which can indicate a serious condition such as a skull fracture. Allowing the fluid to drip onto a sterile gauze pad is appropriate because it helps to absorb the fluid while preserving it for further evaluation, if necessary. This approach prevents unnecessary manipulation that could worsen a possible injury or increase the risk of infection.

Moreover, allowing the drainage to collect on sterile gauze can help healthcare providers monitor the amount and characteristics of the fluid, making it easier to determine the next steps in management, such as whether to involve a physician for further evaluation or testing. Collection on a sterile pad also ensures that the sample remains uncontaminated for analysis, should it be needed to confirm whether the fluid is CSF.

This technique reflects a careful and professional approach to a potentially significant complication following a head injury, prioritizing both patient safety and appropriate clinical assessment.