Med Surg II Exam 4 Questions and Answers 100%
Verified
Question:
A 32-year-old client diagnosed with rule-out meningitis is being prepared for a LP. Which
interventions should nurse im- plement? SATA
Answer:
1, 3-5 (1. Explain to the client what to expect dur- ing the procedure 3. Place the client in a
side-lying position
Question:
Explain to the client what to expect dur- ing the procedure
Answer:
with back arched 4. Have the client empty the bladder prior
Question:
Instruct the client to breathe rapidly and deeply during the procedure
Answer:
to the procedure 5. Obtain informed consent from the client
Question:
Place the client in a side-lying position with back arched
Answer:
or significant other)
,Question:
College student living in the dorm presents to clinic c/o high fever, neck rigidity and
headache. what do you suspect?
Answer:
meningitis a
Question:
What is the treatment for meningitis?
Answer:
IV PCN G w/ a cephalosporin drug (ceftri- axone, cefotaxime) When the patient is lying with
the thigh
,Question:
What is a Kernig sign? - When the patient is lying with the thigh flexed on the abdomen, the
leg cannot be completely extended. When then this sign is bilateral, meningeal irritation is
suspect- ed (LP confirms). - When the patient's neck is flexed (after ruling out cervical trauma
or injury), flexion of the knees and hips is produced. When the lower extremity of one side is
passively flexed, a similar movement is seen in the opposite extremity
Answer:
flexed on the abdomen, the leg cannot be completely extended. When then this sign is
bilateral, meningeal irritation is suspect- ed (LP confirms). When the patient's neck is flexed
(after rul-
, Question:
What is a Brudzinski sign? - When the patient is lying with the thigh flexed on the abdomen,
the leg cannot be completely extended. When the this sign is bilateral, meningeal irritation is
suspected (LP confirms). - When the patient's neck is flexed (after ruling out cervical trauma
or injury), flexion of the knees and hips is produced. When the lower extremity of one side is
passively flexed, a similar movement is seen in the opposite extremity
Answer:
ing out cervical trauma or injury), flexion of the knees and hips is produced. When the lower
extremity of one side is passively flexed, a similar movement is seen in the opposite
extremity
Question:
What are risk factors for meningitis?
Answer:
Dorm students (college/military), win- ter/spring season, tobacco use, URI, otitis media
Verified
Question:
A 32-year-old client diagnosed with rule-out meningitis is being prepared for a LP. Which
interventions should nurse im- plement? SATA
Answer:
1, 3-5 (1. Explain to the client what to expect dur- ing the procedure 3. Place the client in a
side-lying position
Question:
Explain to the client what to expect dur- ing the procedure
Answer:
with back arched 4. Have the client empty the bladder prior
Question:
Instruct the client to breathe rapidly and deeply during the procedure
Answer:
to the procedure 5. Obtain informed consent from the client
Question:
Place the client in a side-lying position with back arched
Answer:
or significant other)
,Question:
College student living in the dorm presents to clinic c/o high fever, neck rigidity and
headache. what do you suspect?
Answer:
meningitis a
Question:
What is the treatment for meningitis?
Answer:
IV PCN G w/ a cephalosporin drug (ceftri- axone, cefotaxime) When the patient is lying with
the thigh
,Question:
What is a Kernig sign? - When the patient is lying with the thigh flexed on the abdomen, the
leg cannot be completely extended. When then this sign is bilateral, meningeal irritation is
suspect- ed (LP confirms). - When the patient's neck is flexed (after ruling out cervical trauma
or injury), flexion of the knees and hips is produced. When the lower extremity of one side is
passively flexed, a similar movement is seen in the opposite extremity
Answer:
flexed on the abdomen, the leg cannot be completely extended. When then this sign is
bilateral, meningeal irritation is suspect- ed (LP confirms). When the patient's neck is flexed
(after rul-
, Question:
What is a Brudzinski sign? - When the patient is lying with the thigh flexed on the abdomen,
the leg cannot be completely extended. When the this sign is bilateral, meningeal irritation is
suspected (LP confirms). - When the patient's neck is flexed (after ruling out cervical trauma
or injury), flexion of the knees and hips is produced. When the lower extremity of one side is
passively flexed, a similar movement is seen in the opposite extremity
Answer:
ing out cervical trauma or injury), flexion of the knees and hips is produced. When the lower
extremity of one side is passively flexed, a similar movement is seen in the opposite
extremity
Question:
What are risk factors for meningitis?
Answer:
Dorm students (college/military), win- ter/spring season, tobacco use, URI, otitis media
