"I'm not sure I want to have a mastectomy." C. The clients voluntary movement is B. Nursing questions and answers. 1. Thank goodness. The meninges are the membranes that cover and help protect the skull, the brain and the spinal cord. 4.

5. After hip flexion, the client is unable to extend their leg completely without. Figure. Meningitis is when these become inflamed because of some kind of infection (it could be bacterial, viral, fungal or a protozoan infection). Absence of nuchal rigidity . While cooking, your client couldnt feel the temperature of a hot oven.

Place your patient in a supine position. Give skin care, massage with moisturizer. **A nurse is assessing a client who has meningitis and notes when passively flexing the client's neck there is an. The nurse should identify which of the following findings as a positive Kernigs sign? Which assessment finding would indicate that the client is developing meningitis as a complication of surgery? Nursing Intervention for Meningitis: Assess the degree of immobilization of the patient. Inform the client of the consequences of uterine prolapse and the need for intervention c. Provide the client with information on treatment options and outcomes - check d. Discuss with the client her concerns regarding the procedure. See Page 1 21-The nurse is assessing a client with bacterial meningitis, identified as Neisseria meningitis.Which elements of infections disease precautions is/are mandatory for routine care of the client? 3. The nurse is evaluating the status of a client who had a craniotomy 3 days ago. Those at greatest risk for this disease are infants Obtain an informed consent from the client or significant other. When assessing this client, the nurse expects to note: a. Vertigo, tinnitus, and hearing loss. B. Obtain an informed consent from the client or significant other. Equipment. 1. Ensure that the client checks the gauge weekly b. Place the client in a side-lying position with the back arched. Indication.

Which interventions should the nurse implement? Meningitis is a disease that involves the inflammation of the membranes that surround the brain and spinal cord, known as meninges. 1. We need to give antimicrobials and prevent transmission, assess their LOC, and make sure to keep them safe from any complications or injury like seizures. We need to give antimicrobials and prevent transmission, assess their LOC, and make sure to keep them safe from any complications or injury like seizures. After stroking. Which of the following conditions is the client displaying?A. The client passively flexes the hip and knee in response to neck flexion and reports pain in the vertebral column. The nurse should identify which of the following findings as a positive Kernig's sign? Location of crackles [IMAGE] 24. A female client has clear fluid leaking from the nose following a basilar skull fracture. Ill only be in isolation for 24 hours..

* Assess for nuchal rigidity (neck pain and resistance to flexion), which may signal meningeal inflammation or a mechanical problem. The nurse is assessing a client with suspected meningitis and needs to check for a 2.

Is clear and tests negative for glucose. Check the clients temperature. involuntary flexion of both legs.

One of the responsibilities of the nurse during a lumbar puncture is to provide information and instructions before, during and after the procedure. the lateral area of the foot, the clients toes contract and draw together.

A nurse is caring for a client who has meningitis, a temperature of 39.7 C (103.5 F), and is prescribed a hypothermia blanket. A. Dehydration B. Select all that apply a) Face shield.

1. 3. 4. Which of the following findings is a priority for the nurse to report to the provider? The adolescent patient shows symptoms of meningitis: nuchal rigidity, vomiting, fever, and lethargy. Check out the meningitis lesson to learn more about that process. After stroking the lateral area of his foot, the clients toes contract and draw together. It will decrease fear and anxiety among the patient and their families, and it will also lessen the occurrence of potential complications post-lumbar puncture. 17.A nurse is assessing a client who has meningitis.

A. B. Meningitis is the inflammation of the meninges of the brain and spinal cord as a result of either bacteria, viral or fungal infection.Bacterial infections may be caused by Haemophilus influenzae type b, Neisseria meningitidis (meningococcal meningitis), and Streptococcus pneumoniae (pneumococcal meningitis). Which action should the nurse complete first? Kernigs sign B.Nuchal rigidity C.Brudzinski sign A nurse is assessing a client who has meningitis and notes when passively flexing the clients neck there is an involuntary flexion of both legs. A nurse is assessing a client who has a new diagnosis of osteoarthritis. The nurse working in the emergency department (ED) is assessing a client who recently returned from Liberia and presented complaining of a fever at home, fatigue, muscle pain, and abdominal pain.

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An adult: client who. Change in vocal tone after drinking liquids Nocturia with episodes of incontinence Oral temp 38 C (110.4 F) Weight loss of 1.8 kg (4 lb.) 1. Assess lung sounds. 2. Assess the six cardinal fields of gaze. 3. Assess apical pulse. 4. Assess level of consciousness. 4. Meningitis directly affects the client's brain. Therefore, assessing the neurological status would have priority for this client. 24 After hip exion, the client is Our priority nursing concepts for a patient with meningitis are infection control, cognition, and safety. 2. Which interventions should the nurse implement? A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis. Select all that apply. It delivers a present amount of airway pressure throughout the breathing cycle 2.

Initiate a mental health consult to determine the clients reasons for refusing surgery b. Absence of nuchal rigidity. 1. Which action should the nurse take n ext? The classic symptoms for meningitis are fever, headache and meningeal signs, like nuchal rigidity (which basically means a stiff neck), and positive Kernigs and Brudzinskis signs. After stroking the lateral area of the foot, the client's toes contract and draw together. The nurse should identify. 4. d. The client's upper arms are flexed and held tightly to the sides of the body and the legs are extended and internally rotated. C. Clumps together on the dressing and has a pH of 7. Assistive range of motion exercises. 2. b. Vertigo, vomiting, and nystagmus c. Vertigo, pain, and hearing impairment. 4. Which interventions should the nurse implement? 1. After hip flexion, the client is unable to extend his leg completely without pain. Nursing Diagnosis Based on the assessment data, major nursing diagnoses include:

3. A nurse is teaching a client about using a continuous positive airway pressure (CPAP) device to treat obstructive sleep apnea. A nurse is assessing a client who has meningitis and notes when passively flexing the clients neck there is an involuntary flexion of both legs. (Select all that apply.) Nursing staff need to prioritise antibiotic treatment, as delays are associated with poorer outcomes. Its actually normal in children under 2 years old. A Glasgow Coma Scale score of 15 The babinski reflex is whats called a primitive reflex. Option A: The client undergoing lumbar puncture is positioned lying on the side, with the legs pulled up to the abdomen, and with the head bent Adown onto the chest. Have the client empty the bladder prior to the procedure. Which of the following conditions is the client displaying? a. A nurse is assessing a client who has pneumonia. Neurologic status and vital signs are continually assessed. Question: A client is suspected of having bacterial meningitis. Select all that apply. A positive Brudzinskis sign . Select all that apply. The client tells the nurse. The diagnostic tests in patients with clinical findings of meningitis are as follows: 1. Our priority nursing concepts for a patient with meningitis are infection control, cognition, and safety.

D. The doctor is a good friend of mine and wont keep me in isolation.. 2. Administer initial dose of broad-spectrum antibiotic Instruct the client to force fluids hourly Obtain results of culture and sensitivity of CSF Assess the client for symptoms of; Question: The nurse admits a client who has a medical diagnosis of bacterial meningitis to the unit. The nurse is preparing a client diagnosed with rule-out meningitis for a lumbar puncture. A nurse is caring for a newly client who has bacterial meningitis. Bacterial meningitis is highly contagious. Which of the following conditions is the client displaying Brudzinski sign Brudzinski sign **A nurse is collecting data from a client who reports severe headache and a stiff neck. Provide training programs and the use of mobilization. Incorrect: The nurse should plan to monitor for tachycardia when a client has meningitis.

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Is grossly bloody in appearance and has a pH of 6. which of the following finding as a positive Kerning s sign? Which of the following actions is the nurse's priority? Pulse oximetry and arterial blood gas values. Crepitus, a grating sound, is an expected finding of osteoarthritis as loosened bone and cartilage move in the diseased joint. A nurse is assessing an 8-month old infant for cerebral palsy. C. The nurse told me that my urine and stool are also sources of meningitis bacteria.. 75 nurse is assessing a client who has meningitis. B. The nurse would suspect the client is developing meningitis as a complication of surgery if the client exhibits: A negative Kernigs sign. [black left pointing small triangle] Place one of your palms behind his head and the other on Nurse Parvati is assessing a child who is diagnosed with Meningococcemia. Have the client empty the bladder prior to the procedure. Mask worn by staff when the client needs to leave the room. This position helps to open the spaces between the vertebrae. Testing the urine specific gravity to assess fluid status can be useful, especially in infants and children with a labile fluid status, and those on full maintenance intravenous fluids. If untreated, this results in swelling, increased intracranial pressure and neurological damage. pain.

b) N95 Crepitus with joint movement is correct. in 1 month. While using this therapy, the nurse should know that the client must carefully be observed for which of the following complications?

A nurse is assessing a client who has meningitis.

4. Assess level of consciousness. 4. Meningitis directly affects the client's brain. Therefore, assessing the neurological status would have priority for this client. 24 The charge nurse observes an inexperienced staff nurse who is caring for a patient who has had a craniotomy for a brain tumor. Meningitis can be fatal. Seizures C. Burns D. Shivering D. Shivering Have the client empty the bladder prior to the procedure. Assessment of the patient with bacterial meningitis include. A Glascow Coma Scale score of 15.

3. Neurologic status. A nurse is providing discha Obtain an informed consent from the client or significant other. Check the area experiencing tenderness, give air mattresses or water body alignment are functionally notice.

2) A nurse is caring for a client who is scheduled for a mastectomy. A. A nurse is assessing a client who reports severe headache and a stiff neck. 2. 6. "You will be cancer-free if you have the procedure." The nurse assesses that this is cerebrospinal fluid if the fluid: A.

The nurse is preparing a client diagnosed with rule-out meningitis for a lumbarpuncture. These values are used to quickly identify the need for respiratory support. The inflammation may be due to viral, bacterial, fungal or parasitic infections, but most cases in the U.S. are due to viruses. A positive Kernigs sign is when a patient has pain when the leg is extended while the hip is

The nurse would suspect the client is developing meningitis as a complication of surgery if the client exhibits: Which of the following symptoms may occur with a phenytoin level of 32 mg/dl? "I can give you a list of other people who had the same procedure." The nurse is preparing a client diagnosed with rule-out meningitis for a lumbar puncture. Which of the following statements should the nurse make? Therefore, the nurse should protect others from infection by placing the child in isolation. Store the oxygen tank wrench in a locked cabinet c. Have the client store smaller tanks under his bed d. Place the oxygen tank away from curtains or drapes 23. Place the client in a side-lying position with the back arched.

Contraindication. Which of the following information should the nurse include in the teaching? A negative Kernigs sign . 2. A positive Brudzinskis sign. The nurses assessment reveals positive Kernigs and Brudzinskis signs. The nurse should assess the infant for: 15. The adolescent patient has symptoms of meningitis: nuchal rigidity, fever, vomiting, and lethargy. The nurse knows to prepare for the following test: Blood culture. Throat and ear culture. CAT scan. Lumbar puncture. 16. A client is admitted and has been diagnosed with bacterial (meningococcal) meningitis. Which of the following findings should the nurse expect?