Severe pain, spasms, and resistance occur when you gently flex Ms. N's neck, indicating that
a. the meningeal infection has spread to the neck muscles.
b. death is imminent.
c. there is a spinal cord tumor in the cervical region.
d. the meningeal irritation has caused nuchal rigidity.
D
Nuchal rigidity is the tendency of the patient to maintain the head in an immobile, extended position. The patient resists movement of the neck. Severe pain and spasms occur with movement.
You might also like to view...
Areas of nursing that most obviously need to consider the needs of the family include: Standard Text: Select all that apply
1. Maternal–infant care. 2. Pediatrics. 3. Mental health. 4. Surgical. 5. Medical.
The case rate of tuberculosis (TB) is highest among which ethnicity in the United States?
a. African American b. Native American c. Hispanic d. Asian
When using a fetal scalp electrode (FSE), you notice an abnormally low FHR on the monitor. You should first
A. Compare maternal pulse simultaneously with FHR B. Remove FSE C. Call the doctor immediately D. Turn off the monitor
A client is prescribed ezetimibe (Zetia). Which assessment finding will require immediate action by the nurse?
a. Headache. b. Slight nausea. c. Muscle pain. d. Fatigue.