The client presents to the walk-in clinic with fever, nuchal rigidity, and headache. Which of the following assessment findings would be most significant in the diagnosis of this client?
A) Change in level of consciousness
B) Vomiting
C) Vector bites
D) Seizures
C
Feedback:
Possible exposure to mosquito bites can be beneficial in the diagnosing of encephalitis secondary to West Nile virus. Change in LOC, vomiting, and seizures are all symptoms of increased ICP and due not assist in the differentiating of cause, diagnosis, or establishing nursing care.
You might also like to view...
Which communication technique is used to handle patient complaints?
a. Persuasion b. Bargaining c. Negotiation d. Nonverbal cues
A 75-year-old woman comes into the clinic with
complaints of muscle twitching, nausea, and headache. She tells the nurse that she has been taking sodium bicarbonate five or six times a day for the past 3 weeks. The nurse will assess for which potential problem that may occur with overuse of sodium bicarbonate? a. Constipation b. Metabolic acidosis c. Metabolic alkalosis d. Excessive gastric mucus
Which of the following nursing responses is an example of the therapeutic technique of empa-thizing?
1. "I think you may be finding this very difficult." 2. "I see you have been crying since your wife left." 3. "Help me to understand how this is affecting you." 4. "It sounds as if this is important to you."
The nurse is caring for a patient with an autoimmune disorder. The patient asks, "What might cause my body to do this to itself?"
Which of the following responses by the nurse would be appropriate for factors that alter or influence the self-recognition portion of the immune system? (Select all that apply.) a. Bacterial infections b. Viral infections c. Drugs d. Hormones