Difficulty: Medium
Average Score: 75%
Simulated
A client has undergone surgery for the creation of burr holes after sustaining head trauma from a fall and is at risk for developing an infection. An early critical manifestation of meningeal irritation for which the nurse assesses the client is:
Correct answer
C
Rationale
Brudzinski's sign, where neck flexion causes involuntary hip and knee flexion, is an early indicator of meningeal irritation post-head trauma.