What finding indicates a basilar skull fracture in a client who has sustained a fall?

The indication of clear fluid coming from the nares is significant in the context of a potential basilar skull fracture. This clear fluid is often cerebrospinal fluid (CSF), which can leak from the nasal passages when there is a fracture at the base of the skull. Such leakage typically occurs due to the disruption of the dura mater, the outermost layer of protective tissue surrounding the brain and spinal cord, which can allow CSF to escape through the nose.

This finding is clinically relevant because it suggests not only the presence of a fracture but also raises concerns about the risk of meningitis, a serious complication that can arise from direct exposure of the central nervous system tissues to the external environment. The presence of CSF in the nasal cavity often requires immediate medical evaluation and intervention.

In contrast, while redness around the eyes, swelling in the forehead, and loss of consciousness can be indicative of head trauma or associated injuries, they are not specific signs of a basilar skull fracture. Redness around the eyes could indicate bruising, often described as "raccoon eyes," which can appear with various forms of facial trauma. Swelling in the forehead can occur due to soft tissue injury or other types of fractures, not just basilar skull fractures.