A nurse is collecting data from a client who has meningitis. When passively flexing the client's neck, the nurse notes an involuntary flexion of both legs. Which of the following conditions is the client displaying?
Kernig sign
Nuchal rigidity
Brudzinski's sign
Bradykinesia
The Correct Answer is C
A. Kernig sign is elicited by flexing the client's hip and knee, then straightening the leg. Pain or resistance indicates meningeal irritation.
B. Nuchal rigidity refers to stiffness of the neck, a classic sign of meningitis, but it does not involve reflexive leg movement.
C. Brudzinski’s sign is positive when passive neck flexion causes involuntary flexion of the hips and knees. It is a classic indicator of meningeal irritation, such as in meningitis.
D. Bradykinesia refers to slowness of movement, typically seen in Parkinson’s disease, not meningitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. A balanced diet is important for overall health, but it is not specific enough to be the best action for preventing osteoporosis.
B. Calcium supplementation can help, but excessive supplementation without medical advice is not recommended as the best initial action.
C. Weight-bearing exercise (like walking, jogging, or resistance training) stimulates bone formation and helps maintain bone density, making it one of the most effective ways to prevent osteoporosis.
D. Increasing intake of milk products can help improve calcium intake, but without the mechanical stress of exercise, it is not as effective in preventing bone loss.
Correct Answer is D
Explanation
A. Timing the seizureis important for documentation and determining severity, but it is not the first priorityin this situation.
B. Removing eyeglassescan help prevent injury, but it is not the most urgent actionduring active vomiting.
C. Placing a pillowmay prevent head injury, but during a seizure, this may not be safe or effective, especially if vomiting is present.
D. The priorityduring a seizure with vomitingis to turn the child to a side-lying positionto maintain an open airway and prevent aspiration. This is the most immediate and critical intervention.
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