Which of the following describes the correct procedure for testing for Kernig's sign?

Rotate the neck to one side while observing the eyes moving to the opposite side.

Passively elevate the leg with extended knee while observing for pain, resistance, or flexion.

Stroke the lateral aspect of the sole of the patient's foot and observe for dorsiflexion of the big toe.

Passively flex the patient's neck forward and observe for hip and knee flexion.

Answer and Explanation

The Correct Answer is B

Choice A rationale: Rotating the neck to one side while observing the eyes moving to the opposite side is a procedure for testing for oculocephalic reflex or doll's eye

phenomenon, which indicates brainstem function.

Choice B rationale: This is the correct answer. Kernig's sign is a clinical sign that indicates meningitis, which is an inflammation of the membranes that cover the brain and spinal cord. To test for Kernig's sign, the nurse should flex the patient's hip to 90 degrees and then attempt to extend the knee. A positive Kernig's sign is when the patient

experiences pain in the lower back or hamstring, resists knee extension, or involuntarily flexes the opposite leg.

Choice C rationale: Stroking the lateral aspect of the sole of the patient's foot and observing for dorsiflexion of the big toe is a procedure for testing for Babinski's sign, which indicates upper motor neuron lesion or damage.

Choice D rationale: Passively flexing the patient's neck forward and observing for hip and knee flexion is a procedure for testing for Brudzinski's sign, which also indicates meningitis.

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Correct Answer is C

Explanation

Choice A rationale: These symptoms are more indicative of diabetic ketoacidosis, not hypoglycemia.

Choice B rationale: Symptoms of increased urination, thirst, and hunger are more associated with hyperglycemia, not hypoglycemia.

Choice C rationale: These are classic signs of hypoglycemia and should be described to the client for early recognition and intervention.

Choice D rationale: These symptoms can occur in hypoglycemia but are less specific compared to sweating, cold, trembling, and tachycardia.

A. Tachycardia, decreased pedal pulses B. Muscle weakness, Diarrhea, dizziness C. Decreased level of consciousness, irregular muscle twitching D. Jaundice skin, hypotension, bradycardia

Correct Answer is B

Explanation

Choice A rationale: These side effects are not related to spironolactone use.

Choice B rationale: These are common side effects of spironolactone, as it causes potassium retention and sodium loss.

Choice C rationale: These side effects are not related to spironolactone use.

Choice D rationale: These side effects are not related to spironolactone use.

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Which of the following describes the correct procedure for testing for Kernig's sign?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing a teaching plan for a client who is newly diagnosed with Type 1 diabetes mellitus. Which signs and symptoms should the nurse describe when teaching the client about hypoglycemia?

Correct Answer is C

Explanation

Spironolactone (Aldactone) is prescribed for a client with chronic cirrhosis and ascites. The nurse should monitor the client for which of the following medication-related side effects?

Correct Answer is B

Explanation

Which of the following describes the correct procedure for testing for Kernig's sign?

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