Difficulty: Medium
Average Score: 74%
Simulated
Passage / Scenario
History and Physical6-year-old child
Vomited 3 times in the past 24 hr
Irritable behavior for the past 24 hr
Respiratory infection started 3 days ago
Brudzinski's and Kernig's signs positive
Nurse is planning care for a child during admission to the facility. Which action should the nurse take first?
Correct answer
D
Rationale
Positive Brudzinski's and Kernig's signs indicate meningitis, making seizure precautions the priority to prevent complications.