A patient is being admitted for possible early-stage viral meningitis. The nurse would assess for which significant findings to help confirm the diagnosis?
1. A history of flulike symptoms resolving 5 days ago
2. Sluggish pupils bilaterally
3. Blood pressure of 100/62
4. A cervical lymph node palpable on physical examination
1
Rationale 1: The presence of systemic viral infections such as a "flulike" illness is significant and may indicate the original source of the viral invasion.
Rationale 2: Sluggish pupils are not associated with viral meningitis.
Rationale 3: Decreased blood pressure is not an early finding of meningitis.
Rationale 4: The presence of a palpable cervical lymph node would not raise suspicion of viral meningitis.
You might also like to view...
Mr. Y, who lives with his wife in their home of 50 years, has a diagnosis of osteoarthritis. Which of the following factors is most likely to have the largest impact on Mr. Y's ability to manage his illness?
A) The availability of new treatment options for his condition B) The financial resources available to Mr. Y and his wife C) The course and progression of his condition D) The openness of Mr Y to complementary and alternative medicine (CAM)
The nurse is helping a 58-year-old gentleman who was recently admitted to the unit with nephrotic syndrome plan his menu. This gentleman's admission vitals were blood pressure 140/90, height 6 ft 3 in, and weight 200 pounds
His labs revealed proteinuria and hyperlipidemia. He also has 2+ pitting edema. The nurse determines his daily protein intake should be which of the following? (Round to the nearest whole number) A) 54 to 63 g B) 64 to 73 g C) 74 to 83 g D) 84 to 93 g
A client in a psychiatric unit has received a diagnosis of antisocial personality disorder. The client says to the nurse, "I don't belong in this place with all these loonies
My doctor must be crazy!" Which nursing response is most appropriate? A) "You are here for a psychological evaluation." B) "I'm sure your doctor has your best interests in mind." C) "Why do you think you don't belong here?" D) "Just bide your time. You'll be out of here soon."
A community health nurse proposed that a survey questionnaire to assess the target population's perception of their health concerns be developed
When drafting a questionnaire, what is the maximum amount of time that the whole questionnaire should take to complete? A) 5 minutes B) 10 minutes C) 15 minutes D) 20 minutes