Which of the following describes the correct procedure for testing for Kernig's sign?
Rotate the neck to one side while observing the eyes moving to the opposite side.
Passively elevate the leg with extended knee while observing for pain, resistance, or flexion.
Stroke the lateral aspect of the sole of the patient's foot and observe for dorsiflexion of the big toe.
Passively flex the patient's neck forward and observe for hip and knee flexion.
The Correct Answer is B
Choice A rationale: Rotating the neck to one side while observing the eyes moving to the opposite side is a procedure for testing for oculocephalic reflex or doll's eye
phenomenon, which indicates brainstem function.
Choice B rationale: This is the correct answer. Kernig's sign is a clinical sign that indicates meningitis, which is an inflammation of the membranes that cover the brain and spinal cord. To test for Kernig's sign, the nurse should flex the patient's hip to 90 degrees and then attempt to extend the knee. A positive Kernig's sign is when the patient
experiences pain in the lower back or hamstring, resists knee extension, or involuntarily flexes the opposite leg.
Choice C rationale: Stroking the lateral aspect of the sole of the patient's foot and observing for dorsiflexion of the big toe is a procedure for testing for Babinski's sign, which indicates upper motor neuron lesion or damage.
Choice D rationale: Passively flexing the patient's neck forward and observing for hip and knee flexion is a procedure for testing for Brudzinski's sign, which also indicates meningitis.
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Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale: This question is not relevant to BPH, as erectile dysfunction is not a common complication of this condition. Erectile dysfunction can have other causes, such as cardiovascular disease, diabetes, medications, psychological factors, or aging.
Choice B rationale: This question is not relevant to BPH, as penile discharge is not a symptom of this condition. Penile discharge can indicate an infection, such as sexually transmitted diseases, urinary tract infections, or prostatitis.
Choice C rationale: BPH is a condition that causes enlargement of the prostate gland, which can obstruct the flow of urine and cause symptoms such as difficulty in starting or stopping urination, weak or intermittent stream, dribbling, and incomplete bladder emptying. Asking about the force of the urinary stream can help assess the severity of BPH and the need for treatment.
Choice D rationale: This question is not relevant to BPH, as sexual function is not directly affected by this condition. However, some men with BPH may experience reduced libido or satisfaction due to urinary symptoms or psychological distress.
Correct Answer is B
Explanation
Choice A rationale: Bell's palsy is not caused by a bacterial infection; hence, antibiotics are not the primary treatment.
Choice B rationale: Corticosteroids like prednisone are often used to reduce inflammation and improve symptoms in Bell's palsy.
Choice C rationale: While vitamins can support overall health, they are not the primary treatment for Bell's palsy.
Choice D rationale: Surgery is not the primary treatment for Bell's palsy unless certain complications arise.
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