The nurse is admitting a client with suspected meningitis and notes a positive Brudzinski's sign has been noted in the history and physical. To validate this assessment finding, the nurse would note which of the following?
1. Seizure activity
2. Neck pain and stiffness
3. Flexion of the legs and thighs
4. Neck extension
3
Rationale 1: Brudzinski's sign is assessed in clients suspected of having meningitis. To assess for this sign the client is placed in a supine position and assisted to flex the neck. In a positive test the legs and thighs will also flex. Seizure activity may be seen in meningitis but seizure activity does not constitute a positive Brudzinski's sign.
Rationale 2: Brudzinski's sign is assessed in clients suspected of having meningitis. To assess for this sign the client is placed in a supine position and assisted to flex the neck. In a positive test the legs and thighs will also flex. Neck pain and stiffness may be noted with meningitis but this is referred to as nuchal rigidity.
Rationale 3: Brudzinski's sign is assessed in clients suspected of having meningitis. To assess for this sign the client is placed in a supine position and assisted to flex the neck. In a positive test the legs and thighs will also flex.
Rationale 4: Neck extension is not associated with Brudzinski's sign.
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