Which signs may be positive in the patient with meningitis?

Kernig and Brudzinski sign

Patellar reflex

Pupillary reflex

Blumberg sign

Answer and Explanation

The Correct Answer is A

A. Kernig's sign is positive when there is pain and resistance to extending the leg at the knee when the hip is flexed, and Brudzinski's sign is positive when the client involuntarily flexes their knees and hips when the neck is flexed. These are both signs of meningeal irritation, which is characteristic of meningitis.

B. The patellar reflex is a deep tendon reflex that assesses the function of the L2-L4 spinal nerves. It is not specific to meningitis and would not be a primary indicator.

C. The pupillary reflex assesses the response of the pupils to light and is not specific to meningitis. It can be affected by various neurological conditions, but it is not a primary sign of meningitis.

D. Blumberg's sign is associated with peritonitis and indicates rebound tenderness in the abdomen. It is not related to meningitis, which affects the central nervous system rather than the abdominal cavity.

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Correct Answer is D

Explanation

A. Educating the client on anticonvulsant medications is important, but it is not the priority during an active seizure. Education should be provided after the seizure has ended.

B. Monitoring vital signs is important but should not be the immediate priority during a seizure. The nurse should focus on airway management first.

C. Restraining the client is contraindicated during a seizure. Restraining can cause injury to both the client and the nurse. The focus should be on protecting the client from harm.

D. The prevention of occlusion of the airway or aspiration is the priority. During a tonic-clonic seizure, there is a risk of the client choking, biting their tongue, or having difficulty breathing. The nurse should ensure the airway is open, prevent aspiration, and protect the client from injury during the seizure.

A. Limit the client's physical activity. B. Provide the client a cane. C. Offer the client 3 large meals a day. D. Speak loudly to the client.

Correct Answer is B

Explanation

A. Limiting the client's physical activity is not recommended for clients with Parkinson's disease. Physical activity, including exercises to improve strength, balance, and flexibility, is essential to manage symptoms and maintain mobility.

B. Providing the client a cane is appropriate. A cane can help with balance and stability, especially as the client experiences motor symptoms such as rigidity and bradykinesia. It can reduce the risk of falls.

C. Offering the client 3 large meals a day is not ideal. Smaller, more frequent meals are recommended for clients with Parkinson's disease, as they may experience difficulty swallowing, digestion issues, or a reduced appetite.

D. Speaking loudly to the client is not necessary unless the client has difficulty hearing. It is more important to speak clearly and at a normal volume, as clients with Parkinson's disease may have issues with speech (e.g., soft or slurred speech).

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Which signs may be positive in the patient with meningitis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client experiencing a tonic-clonic seizure. What is the nursing priority in caring for this client?

Correct Answer is D

Explanation

A nurse is reinforcing teaching to the family of a client who has Parkinson's disease. Which of the following instructions should the nurse include?

Correct Answer is B

Explanation

Which of the following responses indicates sympathetic nervous system activation?

A nurse is caring for a client who has Alzheimer's disease. The nurse discovers the client entering the room of another client, who becomes upset and frightened. Which of the following actions should the nurse take?

A nurse is collecting data from a client who has a herniated intervertebral cervical disc. Which of the following findings should the nurse expect? (Select all that apply.)

A nurse is caring for a client who has a seizure disorder. Exhibits Which of the following actions should the nurse take? (Select all that apply.)

A nurse is caring for a client who has Alzheimer's disease and is confused. Which of the following actions should the nurse take?

The nurse is providing care for a patient diagnosed with a stroke resulting in language disorder. Which type of disorder does the nurse recognize if the patient raises an arm in response to the nurse's direction to stick out his tongue?

A traumatic brain injury that affects the pituitary gland or hypothalamus can cause which of the following?

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