ATI Med-Surg Final Study Questions (Chapter's from Post-Midterm to Final Exam) with Complete Solution.

A nurse is collecting data from a client who reports severe headache and a stiff neck. Data collection reveals positive Kernig's and Brudzinski's signs. Which of the following actions should the nurse perform first? - ANSWER-Implement droplet precautions A nurse is checking for the presence of Brudzinski's sign in a client who has suspected meningitis. Which of the following actions should the nurse take? - ANSWER--Place client in supine position -Place hands behind the client's neck -Bend client's head toward chest A nurse is contributing to the plan of care for a client who has meningitis and is at risk for increased intracranial pressure (ICP). Which of the following interventions should the nurse recommend? - ANSWER--Implement seizure precautions -Turn off room lights and television -Monitor for impaired extraocular movements A health department nurse is reviewing the use of the meningococcal vaccine (MCV4) for the prevention of meningitis with a newly licensed nurse. Which of the following information should the nurse include? - ANSWER-Mendes vaccine for adolescents before starting college A nurse is contributing to the plan of care for a client who has bacterial meningitis. Which of the following interventions should the nurse include? - ANSWER--Provide an emesis basin at the bedside -Administer antipyretic medication -Perform a skin assessment A nurse is collecting data from a client who has a seizure disorder. The client reports sensing an aura and is about to have a seizure. Which of the following actions should the nurse implement? - ANSWER--Provide privacy -Ease the client to the floor if standing -Move furniture away from client -Loosen the client's clothing -Protect the client's head with padding A nurse is caring for a client who just experienced a generalized seizure. Which of the following actions should the nurse perform first? - ANSWER-Keep the client and a side-lying position