The nurse is assessing the client, and anticipates which of the following as early signs of meningitis? Select all that apply. Standard Text: Select all that apply
1. Chills
2. Seizures and paralysis
3. Nuchal rigidity
4. Positive Kernig's sign
5. Negative Brudzinski sign
3,4
Rationale: Nuchal rigidity, or pain when flexing the neck, is a classic symptom of meningitis resulting from inflammation of the meninges. Positive Kernig's sign is found when the client cannot extend the leg when the hip is flexed at a 90-degree angle. Brudzinski sign, neck flexion causing the knees and hips to flex, would also be positive. Seizures, paralysis, fever, and chills would all be late signs of meningitis.
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The population health nurse assists neighborhood residents to form a neighborhood watch to help control gang crimes. This best describes:
1. Vertical empowerment. 2. Internal empowerment. 3. Horizontal empowerment. 4. External empowerment.
Verifying handwriting or determining the age of paper a document was written on is part of establishing:
a. accurate data collection. b. external criticism. c. internal criticism. d. cultural influences of the time period.
A college student tells the nurse that she often is "out of control" with eating, and to keep her weight down so her mother does not call her fat, she makes herself throw up. The nurse realizes the client is experiencing:
1. Anorexia nervosa. 2. Bulimia. 3. Binge-eating. 4. Purging disorder.