A nurse is ordered to observe a female client suspected to have ...

[tuffie]

A nurse is ordered to observe a female client suspected to have meningitis for positive Brudzinski's sign. Which of the following would the nurse document as a positive Brudzinski's sign?
 
  A) Evidence of pain when the client lies on the back and brings one leg up so that the hip and knee are flexed at 90 degrees.
  B) Evidence of pain when the client lies on the side and brings one leg up so that the hip and knee are flexed at 90 degrees
  C) Evidence of pain or resistance when the client lies on the back and brings her head forward toward the chest
  D) Evidence of pain or resistance when the client lies on the side and brings her head forward toward the chest

Question 2

A client with varicose veins has recently undergone surgery. What point should the
  nurse include in the discharge teaching after venous stripping?
 
  A) Place the legs down while sitting
  B) Apply knee-high stockings
  C) Do not cross legs for more than half hour
  D) Avoid sitting for a lengthy time

[shewald78]

Answer to Question 1

C
Feedback:
The nurse should document evidence of pain when the client lies on her back and brings her head forward toward the chest as a positive Brudzinski's sign. Evidence of pain when the client lies on her back and brings one leg up so that the hip and knee are flexed at 90 degrees is seen in a positive Kernig's sign. Kernig's sign also is considered a positive indicator of meningitis. Evidence of pain when the client lies on her side and brings one leg up so that the hip and knee are flexed at 90 degrees, or when the client lies on the side and brings her head forward toward the chest, does not indicate a positive Brudzinski's sign.

Answer to Question 2

D

[tuffie]

Thank you

[shewald78]

No problemo