The nurse is assisting the physician in completing a lumbar puncture. Which would the nurse note as a concern?

Client states a piercing feeling.

Physician maintains aseptic procedure.

Client states pressure relief in the head.

Cerebrospinal fluid is cloudy in nature.

Answer and Explanation

The Correct Answer is D

Cerebrospinal fluid is cloudy in nature. Cloudy cerebrospinal fluid is a sign of infection or inflammation in the central nervous system, and lumbar puncture can be used to obtain cerebrospinal fluid for diagnostic purposes. The nurse should report this finding immediately to the physician for further evaluation and management.

Choice A, client states a piercing feeling, is incorrect because a piercing feeling is common during the procedure due to the insertion of the needle into the subarachnoid space.

Choice B, physician maintains aseptic procedure, is incorrect because maintaining aseptic technique during the procedure is standard protocol to prevent infection.

Choice C, client states a pressure relief in the head, is incorrect because this is not a concerning finding during the procedure.

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Correct Answer is {"dropdown-group-1":"E"}

Explanation

Brudzinski sign is a clinical sign of meningitis, an inflammation of the membranes that cover the brain and spinal cord. It is characterized by reflexive flexion of the knees and hips following passive neck flexion13. To test for this sign, the examiner places one hand on the chest and the other behind the neck of the patient lying flat on the back, and then lifts the head forward. Brudzinski sign was first described by Polish pediatrician Józef Brudziński over 100 years ago. It may be absent, especially in young children.

A. Hematuria. B. Enuresis. C. Anuria. D. Dysuria.

Correct Answer is B

Explanation

Enuresis. Enuresis is the involuntary discharge of urine after the age at which bladder control should have been established. It is a normal finding for children up to the age of 5 years. Hematuria, Anuria, and Dysuria are abnormal findings related to the urinary system and are not normal findings for a 3-year-old.

Choice A, Hematuria, is incorrect because it is an abnormal finding related to the urinary system.

Choice C, Anuria, is incorrect because it is an abnormal finding related to the urinary system.

Choice D, Dysuria, is incorrect because it is an abnormal finding related to the urinary system.

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The nurse is assisting the physician in completing a lumbar puncture. Which would the nurse note as a concern?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse in the clinic is assessing a young child brought in by the parents with symptoms of meningitis. The nurse will assess for dropdown by asking the child to flex the chin to the neck.

Correct Answer is {"dropdown-group-1":"E"}

Explanation

The nurse is instructing a 3-year-old's mother regarding abnormal findings within the urinary system. Which assessment finding would the nurse document as normal finding for this age group?

Correct Answer is B

Explanation

Treatment of melanoma includes which of the following?

An older adult male client is participating in a bladder retraining program as part of the treatment for urinary incontinence. The nurse advises him to wear barrier garments, such as liners and protective pants. Which suggestion would be most appropriate to help the client maintain skin integrity?

The nurse is talking with a group of clients that are older than age 50 years about the recognition of colon cancer to access early intervention. What should the nurse inform the clients to report immediately to their primary care provider?

The nurse is caring for a client experiencing autonomic dysreflexia. Which of the following does the nurse recognize as the source of symptoms?

The emergency room nurse is reporting the location of a fracture to the client's primary car. When stating the location of the fracture on the long shaft of the femur, the nurse would be most correct to state which terminology locating the fractured site?

A client is diagnosed with carpal tunnel syndrome. Which of the following assessment findings would the nurse expect?

The nurse is caring for a client with a head injury after a fall from a hayloft. Which of the following indicates the presence of leaking of cerebral spinal fluid (CSF)?

A client calls the clinic and tells the nurse that he was bitten by a tick and is afraid he has Lyme disease. How long does the nurse understand that the tick must be attached to Lyme disease?