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CCNS Certified Clinical Nurse Specialist

Category - Pediatrics

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A clinical nurse specialist is caring for a child who is diagnosed with bacterial meningitis. During the assessment, the child extends her leg and the hamstring muscle goes into spasm. The nurse documented that the child exhibited a positive:

Chvostek’s sign
Babinksi reflex
Kernig’s sign
Cremasteric reflex

Explanation

Answer - C - The nurse documented that the child exhibited a positive Kernig’s sign. This sign is indicative of meningitis, which is demonstrated by a spasm of the hamstring muscles when the legs are extended.

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CCNS Certified Clinical Nurse Specialist

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CCNS Certified Clinical Nurse Specialist

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