A 15-year-old adolescent is brought to the emergency department by his parents. The adolescent is febrile with chills that started suddenly. He states, "I had a sinus infection and sore throat a couple of days ago."
The nurse suspects bacterial meningitis based on which findings? Select all that apply.
A) Complaints of stiff neck
B) Photophobia
C) Absent headache
D) Negative Brudzinski sign
E) Vomiting
Ans: A, B, E
In addition to the adolescent's complaints and history, other findings suggesting bacterial meningitis include complaints of a stiff neck, photophobia, headache, positive Brudzinski sign, and vomiting.
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The nurse is assigned to care for several patients on the surgical unit. Which patient need will the nurse address first?
a. A patient who is waiting for discharge teaching before going home b. A patient who needs to be ambulated for the first time postoperatively c. A patient who has not voided since the catheter was removed 8 hours ago d. A patient who requires a daily dressing change to the surgical incision
For which common side effects should you monitor after administering any anti-Parkinson's drug to a patient?
a. Dizziness and hypotension b. Diarrhea and nausea c. Hypertension and headache d. Body rash and elevated temperature
The nurse assesses a client in the postanesthesia recovery unit and finds a BP of 88/50, pulse 116, and respirations of 20. What other assessment data will the nurse want to collect first?
1. Pulse oximeter reading 2. Pain assessment 3. Whether the client is nauseated 4. Urine output
A patient with Parkinson's disease who is taking levodopa experiences dizziness when getting out of bed. The nurse should instruct the patient to:
1. try to sleep sitting up. 2. use a potassium supplement. 3. decrease the levodopa dose. 4. try increasing salt and water in the diet.