ISPN&RN考題天天練-0426

ISPN&RN考題天天練-0426

詞彙

meningeal irritation:腦膜刺激徵

elicit:引起,引出

positive Brudzinski's sign:陽性Brudzinski徵

pronate:to turn (a limb, hand, or foot) so that the palm orsole is directed downwards翻轉(肢體、手或腳使手掌或腳跟)向下

plantar flexion of the feet:雙腳蹠屈

flex:屈曲

vertebral column:脊柱

判斷題

The nurse is assessing a client for meningealirritation and elicits a positive Brudzinski's sign. Which finding did thenurse observe?1. The client rigidly extends the arms with pronatedforearms and plantar flexion of the feet.2. The client flexes a leg at the hip and knee andreports pain in the vertebral column when the leg is extended.3. The client passively flexes the hip and knee inresponse to neck flexion and reports pain in the vertebral column.4. The client's upper arms are flexed and held tightlyto the sides of the body and the legs are extended and internally rotated.

學生甲的翻譯:

護士正在評估病人的腦膜刺激,並引起一個積極的布魯津斯基的跡象。護士觀察了哪項發現?

1.受檢者手臂僵硬地伸直,前臂旋前和足底彎曲。

2.病人屈膝和髖部,伸腿時報告脊柱疼痛。

3.病人被動彎曲髖關節和膝蓋以應對頸部屈曲並報告脊柱疼痛。

4.病人的上臂彎曲,緊貼身體兩側,腿部伸展,內旋。

學生乙的翻譯:

護士在給病人做護理評估時發現Brudzinski徵陽性。護士在評估中有什麼發現?

1、患者手臂伸直、僵硬,前臂內旋,雙足蹠屈

2、患者髖關節和膝關節屈曲,伸直下肢時出現脊柱疼痛

3、患者頸部屈曲時,髖關節和雙膝關節不自主屈曲並出現脊柱疼痛

4、 患者的雙上肢屈曲,緊貼身體兩側,雙下肢伸直並內旋。

NOTE:

Brudzinski徵檢查方法:患者去枕仰臥,下肢伸直,檢查者一手托起患者後枕部,另一手按於其胸前,當頭部被動上託,使頸部前屈時,雙髖與膝關節同時不自主屈曲則為陽性。

ISPN&RN考題天天練-0426


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