WEEK 2 - PEDIATRIC NEUROLOGIC AND RESPIRATORY DISORDERS
STUDYGUIDE QUESTIONS AND CORRECT ANSWERS
Question:
1. Meningitis
Answer:
An inflammation of the meninges caused by bacteria, virus, or fungus in the CSF
Question:
2. Reye syndrome
Answer:
a life threatening disorder that involves acute encephalopathy and fatty changes in the liver
Question:
3. Viral (aseptic) meningitis requires:
Answer:
supportive care for recovery
Question:
4. Bacterial (septic) meningitis:
Answer:
-contagious infection -prognosis depends on how quickly it is diagnosed
Question:
5. Reye's syndrome causes swelling of which organs?
Answer:
liver and brain
Question:
6. Reyes syndrome most often affect teens and children recovering from viral infections such
as:
Answer:
flu or chicken pox
Question:
7. Risk factors for megingitis
Answer:
-viruses like HIV and HSV -bacterial infections -injuries that provide direct access to CSF -crowded
living conditions
Question:
8. The incidence of bacterial meningitis infections has decreased d/t:
Answer:
,administration of Hib and PVC vaccine
Question:
9. Signs and symptoms of meningitis
Answer:
-photophobia -vomiting -high pitched cry in infants -bulging fontanelles in NBs -positive kernigs
sign
Question:
10. 2 yrs to adolescence specific meningitis signs
Answer:
-seizures -nuchal rigidity
Question:
11. If a child had decreased LOC:
Answer:
keep them NPO
Question:
12. Bacterial meningitis in CSF lab culture will show:
Answer:
-elevated WBC -cloudy CSF -elevated protein -positive gram stain
Question:
13. Viral meningitis in CSF lab culture will show:
Answer:
-CSF is clear -slightly elevated WBC -normal or slightly elevated protein -negative gram stain
Question:
14. The definitive test to confirm meningitis:
Answer:
lumbar puncture
Question:
15. Imaging to test for meningitis
Answer:
CT or MRI
Question:
16. Nursing actions for lumbar puncture
Answer:
-have client void before test -provide topical anesthetic 45 mins to 1 hr before procedure
Question:
, 17. Nursing actions for after lumbar puncture
Answer:
remain flat to prevent leakage and spinal headache
Question:
18. What environment should be provided for a child with meningitis?
Answer:
-private room -dark -quiet -minimal stimulation when the neck is flexed forward
Question:
19. positive kernig's sign
Answer:
resistance to extension of the childs leg occurs from a flexed position
Question:
20. Nursing care interventions for meningitis
Answer:
-immediate attention of purpuric rash -droplet precautions -monitor VS -monitor I&Os -monitor
neuro status -seizure precautions -keep family informed
Question:
21. Medications for meningitis
Answer:
-antibiotics for up to 10 days -corticosteroids but not for viral -analgesics
Question:
22. How do corticosteroids help with bacterial meningitis?
Answer:
reduces neurologic complication in children who have infection d/t Hib
Question:
23. Analgesics used for meningitis
Answer:
STUDYGUIDE QUESTIONS AND CORRECT ANSWERS
Question:
1. Meningitis
Answer:
An inflammation of the meninges caused by bacteria, virus, or fungus in the CSF
Question:
2. Reye syndrome
Answer:
a life threatening disorder that involves acute encephalopathy and fatty changes in the liver
Question:
3. Viral (aseptic) meningitis requires:
Answer:
supportive care for recovery
Question:
4. Bacterial (septic) meningitis:
Answer:
-contagious infection -prognosis depends on how quickly it is diagnosed
Question:
5. Reye's syndrome causes swelling of which organs?
Answer:
liver and brain
Question:
6. Reyes syndrome most often affect teens and children recovering from viral infections such
as:
Answer:
flu or chicken pox
Question:
7. Risk factors for megingitis
Answer:
-viruses like HIV and HSV -bacterial infections -injuries that provide direct access to CSF -crowded
living conditions
Question:
8. The incidence of bacterial meningitis infections has decreased d/t:
Answer:
,administration of Hib and PVC vaccine
Question:
9. Signs and symptoms of meningitis
Answer:
-photophobia -vomiting -high pitched cry in infants -bulging fontanelles in NBs -positive kernigs
sign
Question:
10. 2 yrs to adolescence specific meningitis signs
Answer:
-seizures -nuchal rigidity
Question:
11. If a child had decreased LOC:
Answer:
keep them NPO
Question:
12. Bacterial meningitis in CSF lab culture will show:
Answer:
-elevated WBC -cloudy CSF -elevated protein -positive gram stain
Question:
13. Viral meningitis in CSF lab culture will show:
Answer:
-CSF is clear -slightly elevated WBC -normal or slightly elevated protein -negative gram stain
Question:
14. The definitive test to confirm meningitis:
Answer:
lumbar puncture
Question:
15. Imaging to test for meningitis
Answer:
CT or MRI
Question:
16. Nursing actions for lumbar puncture
Answer:
-have client void before test -provide topical anesthetic 45 mins to 1 hr before procedure
Question:
, 17. Nursing actions for after lumbar puncture
Answer:
remain flat to prevent leakage and spinal headache
Question:
18. What environment should be provided for a child with meningitis?
Answer:
-private room -dark -quiet -minimal stimulation when the neck is flexed forward
Question:
19. positive kernig's sign
Answer:
resistance to extension of the childs leg occurs from a flexed position
Question:
20. Nursing care interventions for meningitis
Answer:
-immediate attention of purpuric rash -droplet precautions -monitor VS -monitor I&Os -monitor
neuro status -seizure precautions -keep family informed
Question:
21. Medications for meningitis
Answer:
-antibiotics for up to 10 days -corticosteroids but not for viral -analgesics
Question:
22. How do corticosteroids help with bacterial meningitis?
Answer:
reduces neurologic complication in children who have infection d/t Hib
Question:
23. Analgesics used for meningitis
Answer:
