The nurse is reviewing the record of a client with a suspected diagnosis of Huntington's disease. The nurse would expect to note documentation of which early symptom of this disease?

1.Aphasia

2.Agnosia

3.Difficulty with swallowing

4.Balance and coordination problems

4.Balance and coordination problems

The nurse is preparing to care for a client with suspected meningitis after a lumbar puncture. The nurse would plan to place the client in which best position following the procedure?

1.Prone in semi-Fowler's position

2.Supine in semi-Fowler's position

3.Prone with a small pillow under the abdomen

4.Lateral with the head slightly lower than the rest of the body

3.Prone with a small pillow under the abdomen

A client with neck and upper extremity pain has been diagnosed with cervical radiculitis. What does the nurse anticipate as being the cause of these clinical manifestations?

1.Pressure on a spinous process

2.Pressure on a spinal nerve root

3.Pressure on the central spinal cord

4.Pressure on a posterior facet joint

2.Pressure on a spinal nerve root

The nurse is caring for a client with bacterial meningitis. The nurse would anticipate that an antibiotic with which characteristics will be prescribed for the client?

1.One that has a long half-life

2.One that acts within minutes to hours

3.One that can be easily excreted in the urine

4.One that is able to cross the blood-brain barrier

4.One that is able to cross the blood-brain barrier

The nurse is assessing a client for meningeal irritation and elicits a positive Brudzinski's sign. Which finding did the nurse observe?

1.The client rigidly extends the arms with pronated forearms and plantar flexion of the feet.

2.The client flexes a leg at the hip and knee and reports pain in the vertebral column when the leg is extended.

3.The client passively flexes the hip and knee in response to neck flexion and reports pain in the vertebral column.

4.The client's upper arms are flexed and held tightly to the sides of the body and the legs are extended and internally rotated.

3.The client passively flexes the hip and knee in response to neck flexion and reports pain in the vertebral column.

The nurse is providing information to a client suspected of having meningitis who is scheduled for a lumbar puncture. Which information would the nurse provide to the client?

1.The test will probably take about 2 hours.

2.Food and fluids will be restricted after the test.

3.A signed informed consent form will be required.

4.Maintaining bed rest after the test will not be necessary.

3.A signed informed consent form will be required.

The nurse is preparing for the admission of a client with a suspected diagnosis of herpes simplex encephalitis. The nurse anticipates that which diagnostic test will be prescribed to confirm this diagnosis?

1.Lumbar puncture

2.Electroencephalogram

3.Polymerase chain reaction

4.Computed tomography scan

3.Polymerase chain reaction

The nurse is caring for a client who is suspected of having meningitis and who is scheduled to have a lumbar puncture (LP). What are some contraindications for a client to have an LP? Select all that apply.

1.Clients with an allergy to sulfa

2.Clients with infection near the LP site

3.Clients with increased intracranial pressure

4.Clients receiving anticoagulation medications

5.Clients with a history of migraine headaches

6.Clients who have severe degenerative vertebral joint disease

2.Clients with infection near the LP site

3.Clients with increased intracranial pressure

4.Clients receiving anticoagulation medications

6.Clients who have severe degenerative vertebral joint disease

The nurse is caring for a client with meningitis and implements which transmission-based precautions for this client?

1.Private room

2.Personal respiratory protection device

3.Private room with negative airflow pressure

4.Mask worn by staff when the client needs to leave the room

1.Private room

The nurse is reviewing the laboratory results from a lumbar puncture performed in a client with a diagnosis of meningitis. Which laboratory findings are expected to be noted with bacterial meningitis? Select all that apply.

1.Elevated protein level

2.Increased glucose level

3.Elevated CSF pressure

4.Increased white blood cells (WBCs)

5.Clear appearance of the cerebrospinal fluid (CSF)

1.Elevated protein level

3.Elevated CSF pressure

4.Increased white blood cells (WBCs)

The nurse is caring for a client diagnosed with bacterial meningitis. Which clinical manifestation would the nurse monitor for, indicating increased intracranial pressure?

1.Altered mental status

2.Decreased urinary output

3.Decreased peripheral sensation

4.Numbness and tingling in the fingers and toes

1.Altered mental status