Which assessment finding is expected for a patient just diagnosed with viral (aseptic) meningitis?
positive Brudzinski's sign
dysarthria and double vision
petechiae and purpura.
positive Babinski's reflex
The Correct Answer is A
A. Positive Brudzinski's sign: A positive Brudzinski's sign, which involves involuntary flexion of the hips and knees when the neck is flexed, is a common finding in meningitis (both viral and bacterial).
B. Dysarthria and double vision: These symptoms are not typical of viral meningitis; they are more often associated with neurological disorders such as multiple sclerosis.
C. Petechiae and purpura: These are more commonly associated with bacterial meningitis, particularly meningococcal meningitis, rather than viral meningitis.
D. Positive Babinski's reflex: A positive Babinski’s reflex indicates an upper motor neuron lesion and is not specific to meningitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. The disease is prevalent in certain geographical locations: This statement is true but does not explain the etiology of MS. Geographic prevalence does not address the underlying cause.
B. There is a well-defined genetic cause: While genetics may play a role in MS, there is no single well-defined genetic cause for the disease.
C. Inflammatory processes are responsible for the signs and symptoms: MS is an autoimmune disease characterized by inflammation and demyelination of the central nervous system, leading to the signs and symptoms of the disease.
D. Ischemic lesions in the brain are responsible for the signs and symptoms: MS is primarily caused by demyelination rather than ischemic lesions.
Correct Answer is C
Explanation
A. Appendicitis: Appendicitis typically presents with right lower quadrant pain, not LLQ pain.
B. Barrett's esophagus: Barrett's esophagus is a condition associated with chronic GERD and does not cause leukocytosis, fever, or LLQ pain.
C. Diverticulitis: Diverticulitis often presents with LLQ pain, fever, and leukocytosis due to inflammation or infection of the diverticula in the colon.
D. Irritable bowel syndrome (IBS): IBS may cause abdominal pain, but it does not cause fever or leukocytosis, and the pain is typically relieved with defecation and not localized to the LLQ.
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