When assessing a 17-year-old for nuchal rigidity, you gently raise his head off the examination table. He involuntarily flexes his hips and knees
To confirm your suspicions associated with this positive test, you would also perform a test for the __________ sign. a. Kernig
b. Babinski
c. obturator
d. Brudzinski
A
The first action elicited the Brudzinski sign. This sign is an indicator of meningeal irritation. To confirm meningeal irritation, you would test for the Kerning sign, also a meningeal sign.
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A client was admitted to the psychiatric unit on a suicide watch. In an effort to include family members in the client's care, the nurse must: Standard Text: Select all that apply
1. Be prepared to deal with family members who may be confused, angry, or uninterested. Strive to remain neutral, and do not make assumptions about the family's behavior. 2. Involve the family in a bereavement support group. 3. Involve the family in psychoeducational and family network services. 4. Take the bereaved on a family outing. 5. Decide with the client which family members and friends are to be contacted and by whom.
Three gravely ill patients are candidates for the only available bed in the ICU. As the supervisor, you assign the bed to the patient with the best chance of recovery. This decision reflects which of the following ethical principles?
a. Beneficence b. Autonomy c. Veracity d. Nonmaleficence
A client with a self-reported history of type 2 diabetes mellitus and an ulcer wound on the left foot states to the nurse, "I am healthy, I don't know why I have to be here to get a check-up." Which statement by the nurse is the most appropriate?
A. "I feel that you are in denial about your health status." B. "Tell me about your definition of being healthy." C. "Is there anything else you are not telling me?" D. "Do you understand what diabetes is?"
The nurse counsels a client to have the enzyme-linked immunosorbent assay (EIA) test in order to
a. Indicate the presence of the antibody to HIV. b. Reveal whether or not the client has AIDS. c. Isolate the HIV virus. d. Confirm HIV after having a positive Western blot.