A nurse is assessing a client who has meningitis and notes that the client experiences pain with extension of their leg from a flexed positions. Which of the following conditions is the client displaying?

Brudzinski's sign

Nuchal rigidity

Bradykinesia

Kernig's sign

Answer and Explanation

The Correct Answer is D

A. Brudzinski's sign is when flexion of the neck causes involuntary flexion of the hips and knees—this is a different physical response.
B. Nuchal rigidity refers to neck stiffness and is a general sign of meningeal irritation, not specific to leg extension.
C. Bradykinesia refers to slowness of movement, typically seen in Parkinson’s disease, not meningitis.
D. Kernig's sign is positive when the client experiences pain or resistance upon extending the leg at the knee from a flexed hip and knee position, indicating meningeal irritation as seen in meningitis.

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Correct Answer is B

Explanation

A. While menstruation can potentially contaminate the sample, it is still possible to collect a clean catch sample during menstruation if proper technique is used; thus, this statement is not entirely accurate.
B. This is the proper clean catch technique—starting the stream helps flush out any contaminants from the urethra, and then the midstream portion is collected for testing.
C. Urine samples should be sent to the lab promptly while still fresh, or refrigerated if there will be a delay. Letting it cool to room temperature can alter test results.
D. Wiping from front to back is correct to reduce contamination from the perineal area; wiping from back to front increases the risk of introducing bacteria from the rectal area.

Correct Answer is ["1971"]

Explanation

Face: 4.5%

Left arm: 9%

Total TBSA = 4.5 + 9 = 13.5%

Fluid needed in 24 hours = 4 mL × 73 kg × 13.5 = 3942 mL (rounded)

Half of this is given in the first 8 hours: 3942 ÷ 2 = 1971 mL

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A nurse is assessing a client who has meningitis and notes that the client experiences pain with extension of their leg from a flexed positions. Which of the following conditions is the client displaying?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is instructing a female client on obtaining a clean catch urine sample. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

client who suffered burn injuries to their face and entire left arm is to receive lactated ringers. The client weighs 73 kg. How much fluid will be infused for the first 8 hours? (Round to the nearest whole number).

Correct Answer is ["1971"]

Explanation

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