The nurse is admitting a client with suspected meningitis and notes a positive Brudzinski sign has been noted in the history and physical. Which clinical manifestation would validate this assessment finding?
1. Seizure activity.
2. Neck pain and stiffness.
3. Flexion of the legs and thighs.
4. Neck extension.
Correct Answer: 3
Brudzinski 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 sign. Neck pain and stiffness may be noted with meningitis but this is referred to as nuchal rigidity. It does not constitute a positive Brudzinski sign. Neck extension is not associated with a positive Brudzinski sign.
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