Meningitis Patient Assessment Quiz
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Questions and Answers

Which symptom is highly indicative of meningitis based on the subjective data?

  • Restlessness, irritability
  • Nausea and vomiting
  • Excruciating, constant headache (correct)
  • Hyperactive deep tendon reflexes
  • What is a classic sign observed during the physical assessment for meningitis?

  • Tachycardia
  • Altered level of consciousness
  • Positive Kernig’s sign (correct)
  • Red macular rash
  • Which of the following findings during a physical examination could indicate meningeal irritation?

  • Fever and chills
  • Seizures
  • Photophobia
  • Nuchal rigidity (correct)
  • Which combination of physical assessment findings suggests a higher severity of meningitis?

    <p>Altered level of consciousness, seizures</p> Signup and view all the answers

    Which objective finding is specifically associated with meningococcal meningitis?

    <p>Red macular rash</p> Signup and view all the answers

    What does a cloudy appearance of cerebrospinal fluid (CSF) indicate?

    <p>Bacterial infection</p> Signup and view all the answers

    Which test is most definitive for diagnosing meningitis?

    <p>CSF analysis</p> Signup and view all the answers

    What initial guideline should be followed when meningitis is suspected?

    <p>Isolate the client</p> Signup and view all the answers

    What is a key result in the CSF analysis for bacterial meningitis?

    <p>Cloudy appearance</p> Signup and view all the answers

    Which precaution must be maintained until antibiotics have been administered for at least 24 hours?

    <p>Droplet precautions</p> Signup and view all the answers

    Why is it important to minimize environmental stimuli for a client with meningitis?

    <p>To prevent seizures</p> Signup and view all the answers

    What should be monitored to assess for septic shock in a client with meningitis?

    <p>Vital signs</p> Signup and view all the answers

    Which condition may older adult clients with meningitis be at increased risk for?

    <p>Secondary pneumonia</p> Signup and view all the answers

    What should be avoided when administering analgesics in the context of increased intracranial pressure (ICP)?

    <p>Using opioids to relieve pain</p> Signup and view all the answers

    What is the recommended positioning to help reduce increased ICP in a client with meningitis?

    <p>Elevating the head of the bed to 30°</p> Signup and view all the answers

    Which of the following medications is used as prophylaxis for bacterial infections in individuals close to a meningitis patient?

    <p>Ciprofloxacin</p> Signup and view all the answers

    In monitoring for complications of meningitis, which indication suggests increased ICP?

    <p>Seizures and altered consciousness</p> Signup and view all the answers

    What intervention can be administered to quickly reduce increased ICP?

    <p>Giving mannitol IV</p> Signup and view all the answers

    What is a primary manifestation to monitor for in a client with SIADH?

    <p>Dilute blood and concentrated urine</p> Signup and view all the answers

    Which intervention is appropriate for managing SIADH?

    <p>Fluid restriction</p> Signup and view all the answers

    Which medication is typically administered to help treat SIADH?

    <p>Demeclocycline</p> Signup and view all the answers

    What daily assessment is crucial for a client experiencing SIADH?

    <p>Daily weight measurement</p> Signup and view all the answers

    In SIADH, what physiological alteration occurs in the urine of affected patients?

    <p>Concentrated urine despite high fluid intake</p> Signup and view all the answers

    What is one potential risk factor for the occurrence of absence seizures in children?

    <p>Genetic predisposition</p> Signup and view all the answers

    Which of the following conditions can lead to seizures due to increased intracranial pressure?

    <p>Cerebral edema</p> Signup and view all the answers

    In older adults, which condition is commonly associated with new-onset seizures?

    <p>Heart disease</p> Signup and view all the answers

    How can abrupt cessation of antiepileptic drugs (AEDs) affect seizure activity?

    <p>It can cause rebound seizure activity.</p> Signup and view all the answers

    Which of the following is NOT considered a metabolic disorder that can result in seizures?

    <p>Alzheimer's disease</p> Signup and view all the answers

    Study Notes

    Subjective Data

    • Patient reported excruciating, constant headache.
    • Patient experienced nuchal rigidity (stiff neck).
    • Patient exhibited photophobia (sensitivity to light).

    Objective Data: Physical Assessment Findings

    • Patient presented with fever and chills.
    • Patient experienced nausea and vomiting.
    • Patient displayed altered level of consciousness (confusion, disorientation, lethargy, difficulty arousing, or coma).
    • Kernig's sign was positive (resistance and pain with leg extension).
    • Brudzinski's sign was positive (knee and hip flexion with neck flexion).
    • Patient had hyperactive deep tendon reflexes.
    • Patient experienced tachycardia.
    • Seizures were observed.
    • A red macular rash was noted (suggesting meningococcal meningitis).
    • Patient showed restlessness and irritability.

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    Description

    Test your knowledge on the clinical signs and symptoms of meningitis through a detailed patient case study. Analyze both subjective and objective data to identify critical findings that indicate potential meningococcal meningitis. This quiz is essential for healthcare professionals aiming to enhance their assessment skills.

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