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Challenge Question

Posted on October 15, 2009 | 5 Comments on Challenge Question

A client persents with symptoms of increased intracranial pressure, papilledema, and headache. No history of trauma is found. Vital signs are BP 110/60, HR 80, T 98.9 degree F, RR 24. Based on this statement, the nurse suspects the client has a(n):
A. brain tumor
B. meningitis
C. skull fracture
D. encephalitis

A nurse is assessing a client who is unable to extend the legs without pain, has a temperature of 103 degree F, and on flexion of the neck also flexes the hip and knee. Based on this assessment, the nurse suspects the client has (a):
A. meningitis
B. brain abscess
C. brain tumor
D. epilepsy

The nurse is assessing reflexes on a client. A positive Babinski’s reflex is :
A. extension of the elbow and contraction of the tricepts tendon
B. supination and flexion of the forearm
C. dorsiflexion of the great toe with fanning of the other toes
D. flexion of the arm at the antecubital lossa and contraction of the biceps

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Comments:5

  1. roi Reply
    10/03/22

    A A D

  2. mik Reply
    10/04/16

    B C C

  3. daryl da diez Reply
    10/11/14

    A A C

  4. 11/03/20

    A – because there is papilledema
    A – signs show meningitis
    C – obvious

  5. rajisheby Reply
    11/12/09

    A A C

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