A client is brought to the emergency department due to vomiting, fever, and a severe headache. The physician suspects meningitis; then assesses the client for meningeal irritation and spinal nerve root inflammation. The nurse documents a positive Kernig's sign when:

The client's forearm spasms when a blood pressure cuff is inflated on the upper arm.

The client complains of pain when his knee is extended with his hip flexed.

The client feels pain in the calf when his foot is dorsiflexed.

The client has a stiff neck when the neck is flexed towards the chest.

Answer and Explanation

The Correct Answer is B

Choice A rationale: This is a positive Trousseau's sign, which indicates hypocalcemia or tetany. It is not related to meningitis or meningeal irritation.

Choice B rationale: Kernig's sign is indicated when there is resistance and pain with knee extension and hip flexion, suggesting meningeal irritation.

Choice C rationale: This is a positive Homan's sign, which indicates deep vein thrombosis or phlebitis. It is not related to meningitis or meningeal irritation.

Choice D rationale: This is a sign of nuchal rigidity, which indicates meningeal irritation, but it is not specific to Kernig's sign. Nuchal rigidity can also be caused by other conditions such as cervical arthritis or muscle spasm.

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Correct Answer is B

Explanation

Choice A rationale: This test is not specific for confirming osteoporosis.

Choice B rationale: This test is called a bone mineral density (BMD) test or a dual-energy X-ray absorptiometry (DXA) scan. It measures how much calcium and other minerals are in a segment of bone.

Choice C rationale: This test is not specific for confirming osteoporosis.

Choice D rationale: This test is not specific for confirming osteoporosis.

A. A scalp laceration oozing blood. B. Dizziness, nausea, and transient confusion. C. Headache rated "8" on a 0-10 scale. D. Serosanguineous nasal drainage.

Correct Answer is D

Explanation

Choice A rationale: This is a possible sign of TBI but is not necessarily indicative of a life- threatening condition.

Choice B rationale: This is a possible sign of TBI but is not necessarily indicative of a life- threatening condition.

Choice C rationale: This is a possible sign of TBI but is not necessarily indicative of a life- threatening condition.

Choice D rationale: Serosanguineous nasal drainage (a mixture of blood and clear fluid) may suggest a basilar skull fracture, which is a fracture of the base of the skull that can damage vital structures such as the brainstem, cranial nerves, or major blood vessels. This can lead to serious complications such as meningitis, cerebrospinal fluid leak, or hemorrhage.

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A client is brought to the emergency department due to vomiting, fever, and a severe headache. The physician suspects meningitis; then assesses the client for meningeal irritation and spinal nerve root inflammation. The nurse documents a positive Kernig's sign when:

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Naxlex Comprehensive Predictor Exams

Which diagnostic test does the nurse expect the primary care provider to prescribe to confirm a diagnosis of osteoporosis?

Correct Answer is B

Explanation

A client is admitted to the hospital with a traumatic brain injury after his head violently struck a brick wall during a gang fight. Which finding is most important for the nurse to assess further?

Correct Answer is D

Explanation

Polystyrene sulfonate (Kayexalate) is used in renal failure to:

A nurse is caring for a client who has benign prostatic hyperplasia (BPH). Which of the following medications should the nurse plan to administer?

The nurse is reviewing the patient lab and the following is shown on the CT: The nurse conclude the patient has :

The nurse is teaching a client with Parkinson's disease about dietary considerations. The nurse understands that this client is at highest risk for:

The nurse cares for a client with diabetes mellitus and congestive heart failure. Exhibits Which two (2) client findings in the history and physical are most concerning? Select all that apply

For which client with severe migraine headaches would the nurse question an order for sumatriptan?

The nurse is caring for a client with multiple traumas after a motor vehicle collision. The nurse learns that the client has secondary syphilis. What precaution should the nurse implement?

The medical reports of a client who suffered an accident show injuries at the sixth thoracic vertebra, lack of normal sympathetic outflow, bradycardia and low blood pressure. Which condition does the nurse suspect in the client?