The patient with meningitis who has a positive Brudzinski's sign will:
1. flex the hips when the neck is flexed by the nurse.
2. not be able to extend the flexed leg fully due to hamstring pain.
3. resist efforts of the nurse to flex his or her neck.
4. flex the big toe upward and fan out the other toes.
1
Inflamed meninges will stimulate hip flexion to reduce meningeal discomfort.
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A client with quadriplegia is admitted to the health care facility. The client requires highly individualized care. Which of the following nursing care approaches is likely most suitable for this client?
A) Functional nursing B) Case-method nursing C) Primary nursing D) Team nursing
The ANA's Code of Ethics for Nurses is used to provide specific advice involving which of the following (select all that apply)?
a. How to document a patient fall b. Decisions about a patient's right to die c. How to handle impaired nursing practice d. Chain of command when a physician does not return pages e. Handling situations where a client's needs are beyond the scope of nursing compe-tency
Over lunch in the cafeteria, student nurses are sharing educational information about the patients for whom they are caring. This is a(n):
a. breach of beneficence. b. example of maleficence. c. potential assault and battery charge. d. violation of the Health Insurance Portabil-ity and Accountability Act (HIPAA).
What aspects of K.D.'s care can you delegate to the licensed practical nurse (LPN)? Select all
that apply. a. Providing instructions about a high-calorie, high-protein diet b Repositioning K.D. and having him deep breathe every 2 hours c. Developing a plan of care to improve K.D.'s oxygenation status d. Reinforcing teaching with K.D. about good hand washing techniques e. Administering first dose of IV trimethoprim-sulfamethoxazole (Bactrim) f. Monitoring K.D.'s pulse oximetry readings and reporting values under 95%