Page 389 - Saunders Comprehensive Review For NCLEX-RN

be no reports of pain or resistance to
the neck flexion; a positive
Brudzinski’s sign is observed if the
client passively flexes the hip and knee
in response to neck flexion and reports
pain in the vertebral column.
c. Kernig’s sign is positive when the client
flexes the legs at the hip and knee and
complains of pain along the vertebral
column when the leg is extended.
15. Refer to Chapter 58 for additional neurological
assessments and diagnostic tests.

16. Client teaching

a. Client should avoid exposure to
environmental hazards (e.g.,
insecticides, lead).
b. High-risk behaviors that can result in
head and spinal cord injuries should
be avoided.
c. Protective devices (e.g., a helmet, body
pads) should be worn when
participating in high-risk behaviors.
d. Seat belts should always be worn.
L. Female genitalia and reproductive tract

1. Subjective data: Urinary difficulties or

symptoms such as frequency, urgency, or burning;
vaginal discharge; pain; menstrual and obstetrical
histories; onset of menopause; medications being
taken; sexual activity and the use of barrier and other
contraceptives; history of sexually transmitted
infections

2. Objective data

a. Use a calm and relaxing approach; the
examination is embarrassing for many
clients and may be a difficult
experience for an adolescent.
b. Consider the client’s cultural

background and their beliefs regarding
examination of the genitalia.
c. Consider sexual orientation in these
types of exams, such as a
transgendered individual and the
sensitivity required in caring for this

389