A nurse in the ICU observes paradoxical irritability, meningeal irritability, and nuchal rigidity in a 5-year-old girl. She suspects meningitis. What other finding or findings would support this belief? Select all that apply
A) Positive Babinski reflex
B) Positive Moro reflex
C) Positive Brudzinski's sign
D) Positive Kernig's sign
C, D
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A nurse is working with a hospital team to create an emergency response plan that will meet Joint Commission requirements
Which sections should be included in this plan? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. A method to predict when a disaster will occur through close attention to news and weather reports 2. A method to recognize that a disaster is imminent or occurring with plans to reduce the disaster's impact 3. A plan whereby policies and procedures as well as equipment and personnel are in place to handle disasters 4. Policies and procedures that operationalize actual activities during the disaster 5. Policies and procedures describing what will occur immediately after the disaster
A nurse is caring for a group of clients who are recovering in a rehabilitation hospital following total hip replacements. Which client is exhibiting the highest motivation to learn?
A) A client who has been there the longest and is a great "coach" for newcomers B) A client who has been struggling with following nursing directives regarding discharge goals C) A client who is excited to learn ambulation techniques D) The client who has just moved in and is already eager for discharge
What nutritional factors should the nurse assess in the client with anxiety?
A) Caffeine consumption B) Current weight status and recent weight fluctuations C) Allergy to foods containing iodine D) Consumption of alcohol
A newly pregnant client asks the nurse, "What is the false pelvis?" Which is a correct statement that the nurse should give the client?
a. It is the total anterior portion of the pelvis. b. It is considered to be the lower portion of the pelvis. c. It provides support for the internal organs and the upper part of the body. d. It is the narrowest part of the pelvis through which a fetus will pass during birth.