The nurse in the clinic is assessing a young child brought in by the parents with symptoms of meningitis. The nurse will assess for
The Correct Answer is {"dropdown-group-1":"E"}
Brudzinski sign is a clinical sign of meningitis, an inflammation of the membranes that cover the brain and spinal cord. It is characterized by reflexive flexion of the knees and hips following passive neck flexion13. To test for this sign, the examiner places one hand on the chest and the other behind the neck of the patient lying flat on the back, and then lifts the head forward. Brudzinski sign was first described by Polish pediatrician Józef Brudziński over 100 years ago. It may be absent, especially in young children.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Autonomic dysreflexia is a medical emergency characterized by a sudden onset of excessively high blood pressure, sweating, and headache. It is caused by an overactivity of the autonomic nervous system in response to a noxious stimulus below the level of a spinal cord injury.
Choice B is incorrect because the central nervous system includes the brain and spinal cord, while autonomic dysreflexia is caused by a spinal cord injury.
Choice C is incorrect because the sympathetic nervous system is part of the autonomic nervous system and is involved in the response to autonomic dysreflexia.
Choice D is incorrect because the peripheral nervous system includes the nerves that extend from the brain and spinal cord to the rest of the body.
Correct Answer is D
Explanation
Halo sign. The presence of clear fluid with a yellowish ring around it (Halo sign) on the client's bed linens, tissues, or skin may indicate the presence of leaking of cerebral spinal fluid (CSF).
Swelling, choice A, change in the level of consciousness (LOC), choice B, and signs of increased intracranial pressure (ICP), choice C, may be indicative of a head injury, but do not specifically indicate the presence of leaking of CSF.
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