The family nurse practitioner is performing the physical examination of a client with a suspected neurologic disorder. In addition to assessing other parts of the body, the nurse should assess for neck rigidity
Which method should help the nurse assess for neck rigidity correctly? A) Moving the head toward both sides
B) Lightly tapping the lower portion of the neck to detect sensation
C) Moving the head and chin toward the chest
D) Gently pressing the bones on the neck
C
Feedback:
The neck is examined for stiffness or abnormal position. The presence of rigidity is assessed by moving the head and chin toward the chest. The nurse should not maneuver the neck if a head or neck injury is suspected or known. The neck should also not be maneuvered if trauma to any part of the body is evident. Moving the head toward the sides or pressing the bones on the neck will not help assess for neck rigidity correctly. While assessing for neck rigidity, sensation at the neck area is not to be assessed.
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