A&C Exam 3 Neuro
A nurse is assessing a client who has meningitis and notes when passively flexing the client's neck there is an involuntary flexion of both legs. Which of the following conditions is the client displaying?
Brudzinski's sign
A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis. Which of the following actions is the nurse's priority?
Place the child in isolation.
A nurse enters a client's room and finds the client on the floor having a seizure. Which of the following actions should the nurse take?
Place the client on his side.
A nurse is caring for a child who is having a tonic-clonic seizure and vomiting. Which of the following actions is the nurse's priority?
Position the child side-lying.
A nurse is assessing an 8-month-old infant for cerebral palsy. Which of the following findings is a manifestation of the condition?
Sits with pillows props
A nurse is assessing a client who has meningitis. Which of the following findings should the nurse expect?
Severe headache
A nurse is caring for a child who is having a seizure. Which of the following actions should the nurse take? Select all that apply.
-Assess the client's airway patency. -Remove objects from the client's bed. -Place the client in a side-lying position.
A nurse is assessing a client who has Bell's palsy. Which of the following findings should the nurse expect? Select all that apply.
-Muscle distortion -Pain behind the ear -Impaired taste
A nurse is creating a plan of care for a client who has a history of tonic-clonic seizure disorder. Which of the following interventions should the nurse include? Select all that apply.
-Provide a suction setup at the bedside. -Elevate the side rails near the head when the client is in bed. -Place the bed in the lowest position. -Keep an oxygen setup at the bedside.
A nurse is planning care for a 6-year-old child who has bacterial meningitis. Which of the following nursing interventions is unnecessary in the client's plan of care?
Measure head circumference every shift.
