Which clinical sign is commonly associated with meningeal irritation in an adult patient with meningitis?

Correct answer: A. Pain and resistance when the neck is flexed

  • A. Pain and resistance when the neck is flexed
  • B. Painless flexion of the neck toward the chest
  • C. Marked weakness only in one lower limb
  • D. Loss of sensation in a glove pattern

Explanation

Neck stiffness and resistance to passive neck flexion suggest meningeal irritation. A painless flexible neck does not support this finding, while focal limb weakness and glove-pattern sensory loss suggest other neurological problems.

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Covers nursing assessment and management of stroke, epilepsy, meningitis, raised intracranial pressure, head injury, spinal cord disorders, Parkinson disease and multiple sclerosis. Key areas include level of consciousness, pupil responses, motor and sensory findings, seizure precautions and distinguishing upper motor neuron from lower motor neuron signs.

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