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
complaint of headaches off and on for the past month. A cerebral aneurysm is a bulging or ballooning in a blood vessel in the brain that can cause severe headaches or rupture, leading to bleeding in the brain. Therefore, a complaint of a headache is of greatest concern and requires immediate attention.
Nausea (B) is a common symptom associated with many disorders, and it may or may not be related to a cerebral aneurysm. No bowel movement since yesterday
(C) and frequent voiding (D) are not specific to cerebral aneurysms and may be caused by various other factors.
Correct Answer is B
Explanation
Sips of fluid may be increased if tolerated. After a barium enema, the client may be allowed to increase fluid intake to help eliminate the barium and prevent constipation.
Option A: The client will maintain a low-residue diet is not a correct answer as it is not necessary after a barium enema.
Option C: An enema will be used to clear the bowel is not a correct answer as the barium enema is itself a type of enema used to visualize the colon.
Option D: The stools may be white or clay-colored is not a correct answer as it is a potential side effect of barium use, not an instruction to the client.
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