Neurology Nclex Style Questions And Answers Study Guide Graded A+

The nurse should monitor a child for which of the following clinical manifestations of meningeal irritation? Select all that apply: 1. Nuchal rigidity 2. Nausea and vomiting 3. Anxiousness 4. Heightened sense of environment 5. Headache 6. Decreased resistance to pain and extension of the leg {Ans: 1. 2. 5. Clinical manifestations of meningeal irritation are nuchal rigidity, positive Kernig's sign (resistance to pain and extension of the leg), positive Brudzinski's sign, severe headache, loss of consciousness, photophobia, nausea, vomiting, fever, and convulsions.}The nurse is assigned to administer bismuth subsalicylate (Pepto-Bismol) to a 10-year-old child who has Reye'ssyndrome and is experiencing gastrointestinal clinical manifestations. Which of the following is the priority action for the nurse to take? 1. Administer the prescribed dose of 1 tablet 2. Inform the child and parents that stools will be dark in appearance 3. Instruct the child to chew the tablet thoroughly 4. Question the physician's order {Ans: 4. Bismuth subsalicylate (Pepto-Bismol) contains aspirin, and there is a suspected link between aspirinand the etiology of Reye's syndrome. It is a priority to question the order for Pepto-Bismol to be given to this child. One tablet is appropriate for a child 10 years of