A school-age client is experiencing photophobia, a sore neck, chills, and fever. During a physical assessment, the nurse uses the technique in the Exhibit. Why did the nurse use this technique when assessing the client?
A) It is a routine part of the physical assessment.
B) The client's symptoms indicated meningitis
C) The nurse was assessing range of motion of the neck.
D) The nurse was assessing optic nerve functioning.
Answer: B
The client's manifestations of a sore neck, chills, fever, and photophobia are consistent with meningitis. Assessing for the Brudzinski sign is not a routine part of the physical assessment. This maneuver is not done to assess for neck range of motion or optic nerve functioning.
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