A college student is admitted for treatment of viral meningitis. What should the nurse expect to assess in this patient? Select all that apply.
A. Positive Kernig sign
B. Neck stiffness
C. Lethargy
D. Confusion
E. Photophobia
Ans:
A. Positive Kernig sign
B. Neck stiffness
C. Lethargy
E. Photophobia
Reason: The manifestations of viral meningitis are milder than those of bacterial meningitis and may include lethargy and photophobia. Neck stiffness and a positive Kernig sign are usually present. The patient typically remains oriented.
You might also like to view...
The nursing manager of the pediatric intensive care unit wants to provide patients with improved sleep and rest. Which intervention would have the greatest impact on promoting rest in this environment?
A. Clustering care so nursing interruptions are limited B. Decreasing the noise in the unit, especially at night C. Enforcing a 2-hour "quiet time" on each shift D. Turning off equipment alarms when children are sleeping
A 6-year-old child is hypokalemic. The nurse is helping the child choose menu items. The nurse would encourage this child to select which foods?
1. Hamburger with French fries 2. Pizza with a fruit plate 3. Chicken strips with chips 4. Fajita with rice
NPs are advanced practice nurses who
a. are required to have physician collaboration or supervision. b. function under a set of universal advanced practitioner laws. c. cannot receive direct reimbursement for their services. d. can diagnose and treat common and chronic conditions.
A pregnant woman tells a nurse that she takes daily vitamin supplements. Since learning about her pregnancy, she has increased her vitamin A supplement to 1200 RAEs per day. The nurse should:
1. confirm that this dose is appropriate during pregnancy. 2. encourage the patient to increase the dose to 1500 RAEs to promote the development of the central nervous system of the fetus. 3. recommend that the patient decrease the dose to less than 700 RAEs because higher doses may be teratogenic. 4. inform the patient that because vitamin A is water soluble, large doses are needed to maintain skin integrity.