Which pieces of information link up correctly?
Nausea and vomiting: an indication of a diffuse brain stem injury.
Nuchal rigidity: neck stiffness due to meningeal edema.
Bilateral fixed and dilated pupils: an indication of a cerebellar brain attack.
Brudzinski’s sign: an indication of viral meningitis.
The Correct Answer is B
Choice A rationale
Nausea and vomiting can be caused by various conditions, including gastrointestinal issues and brain injuries, but they are not specifically indicative of a diffuse brain stem injury.
Choice B rationale
Nuchal rigidity, or neck stiffness, is a classic sign of meningeal irritation, often due to meningeal edema in conditions like meningitis.
Choice C rationale
Bilateral fixed and dilated pupils are more commonly associated with severe brain injury or increased intracranial pressure, not specifically a cerebellar brain attack.
Choice D rationale
Brudzinski’s sign is a physical exam finding indicative of meningeal irritation, commonly seen in bacterial meningitis, not specifically viral meningitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Post-renal acute kidney injury (AKI) is caused by obstruction of urine flow, leading to decreased urine output, but it does not typically cause crackles in the lungs.
Choice B rationale
Diabetes insipidus (DI) is characterized by excessive urination and thirst due to a deficiency of antidiuretic hormone (ADH), but it does not cause crackles in the lungs.
Choice C rationale
Syndrome of inappropriate antidiuretic hormone (SIADH) involves excessive release of ADH, leading to water retention and hyponatremia, but it does not cause crackles in the lungs.
Choice D rationale
Congestive heart failure (CHF) can lead to fluid accumulation in the lungs (crackles) and decreased urine output due to poor cardiac function and renal perfusion.
Correct Answer is A
Explanation
Choice A rationale
Severe headache and photophobia are classic symptoms of meningitis, indicating inflammation of the meninges.
Choice B rationale
Chest pain and shortness of breath are more indicative of cardiovascular or respiratory issues, not meningitis.
Choice C rationale
Abdominal pain and diarrhea are gastrointestinal symptoms and are not typically associated with meningitis.
Choice D rationale
Joint pain and swelling are more indicative of rheumatologic conditions, not meningitis.
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