The nurse notes the physical assessment findings for a client with a diagnosis of possible…

The nurse notes the physical
assessment findings for a client with a diagnosis of possible meningitis. Which
findings should the nurse expect to observe because of meningeal irritation?
Select all that apply.

1. Pupils are unequal and react
slowly to light. 2. The client reports stiffness and soreness in the neck area.
3. The client reports pain in the vertebral column and passively flexes the hip
and knee in response to neck flexion. 4. The client flexes a leg at the hip and
knee and reports pain in the vertebral column when the leg is extended. 5. The
client’s upper arms are flexed and
»

The nurse notes the physical
assessment findings for a client with a diagnosis of possible meningitis. Which
findings should the nurse expect to observe because of meningeal irritation?
Select all that apply.

1. Pupils are unequal and react
slowly to light. 2. The client reports stiffness and soreness in the neck area.
3. The client reports pain in the vertebral column and passively flexes the hip
and knee in response to neck flexion. 4. The client flexes a leg at the hip and
knee and reports pain in the vertebral column when the leg is extended. 5. The
client’s upper arms are flexed and held tightly to the sides of the body, and
the legs are extended and internally rotated.

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