A patient with possible bacterial meningitis is admitted to the ICU. What assessment finding would the nurse expect for a patient with this diagnosis?
A) Pain upon ankle dorsiflexion of the foot
B) Neck flexion produces flexion of knees and hips
C) Inability to stand with eyes closed and arms extended without swaying
D) Numbness and tingling in the lower extremities
Ans: B
Feedback:
Clinical manifestations of bacterial meningitis include a positive Brudzinski's sign. Neck flexion producing flexion of knees and hips correlates with a positive Brudzinski's sign. Positive Homan's sign (pain upon dorsiflexion of the foot) and negative Romberg's sign (inability to stand with eyes closed and arms extended) are not expected assessment findings for the patient with bacterial meningitis. Peripheral neuropathy manifests as numbness and tingling in the lower extremities. Again, this would not be an initial assessment to rule out bacterial meningitis.
You might also like to view...
The physician has ordered furosemide 20 mg stat. The ampule is labeled 40 mg/mL. What dose should the nurse administer?
a. 0.8 mL b. 0.5 mL c. 2.0 mL d. 8.0 mL
The ANA code of nursing ethics articulates that the nurse "promotes, advocates for, and strives to protect the health , safety, and rights of the patient." This includes the protection of patient privacy. On the basis of this principle, if you participate in a public online social network such as Facebook, could you post images of a patient's x-ray film if you deleted all patient identifiers?
A) Yes because patient privacy would not be violated as long as the patient identifiers were removed B) Yes because respect for autonomy implies that you have the autonomy to decide what constitutes privacy C) No because, even though patient identifiers are removed, someone could identify the patient based on other comments that you make online about his or her condition and your place of work D) No because the principle of justice requires you to allocate resources fairly
A patient lost his spouse three years ago. The nurse has been helping him work through his grief using Worden's stage theory of grieving. Which controversial stage might the nurse decide to eliminate?
1. Accept the reality of the loss. 2. Experience the pain of grief. 3. Adjust to an environment in which the deceased is missing. 4. Withdraw from the lost relationship and reinvest energy in new relationships.
Cessation of menses is known as:
A. menarche. B. menopause. C. salpingitis. D. adnexa.