A nurse is caring for a patient with meningitis who has a positive Brudzinski sign. Which assessment led to this conclusion?
a. Flexed hips when the neck is flexed by the nurse
b. Inability to extend the flexed leg fully be-cause of hamstring pain
c. Resisting efforts of the nurse to flex his or her neck
d. Flexing the big toe upward and fan out the other toes
A
Inflamed meninges will stimulate hip flexion to reduce meningeal discomfort.
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The nurse is caring for a client who is at risk for developing gastritis. Which finding from the client's history leads the nurse to this conclusion?
a. Client is lactose intolerant and cannot drink milk. b. Client recently traveled to Mexico and South America. c. Client works at least 60 hours per week in a stressful job. d. Client takes naproxen sodium (Naprosyn) 500 mg daily for arthritis pain.
What is the most common opportunistic infection in children with the Human Immunodeficiency Virus?
1. Pneumocystic pneumonia 2. CMV 3. Meningitis 4. Encephalitis
A mother defensively said, "I consumed alcohol while I was pregnant with my baby, and except for being small, she is okay." What characteristics would the nurse expect the infant to exhibit when grown?
a. Hyperactivity b. Suffering consequences of child abuse c. Learning disabilities d. Rapid mood changes
A novice nurse is hired for a full-time night position on a psychiatric-mental health unit. Which activity will protect this nurse’s sleep territory?
a. Go to bed and get up at consistent times. b. Use caffeine consistently throughout the day. c. Avoid long commute times or have someone drive the nurse to work. d. Find a dark room, turn off phones, and place a sign on the door.