Your patient is in a recumbent position when you lift his leg and flex the knee at a right angle. As you attempt to extend his knee by pushing down, there is a resistance and he complains of pain. This response

a. is normal in nonathletes. c. indicates meningeal irritation.
b. indicates he is prone to leg spasms. d. indicates sciatic nerve irritation.


C
Kernig's sign is assessed by placing the patient in a recumbent position. Lift the patient's leg and flex the knee at a right angle. Attempt to extend the patient's knee by pushing down on it. A positive Kernig's sign is a resistance to extension and pain (resulting from spasm of the hamstring), preventing extension of the leg. Kernig's sign is caused by stretching of the irritated nerve roots and meninges.

Nursing

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