NSG 123 Exam 3 Meningitis Questions and Answers 100% Solved correctly

what is the most severe type of meningitis? - bacterial pathophysiology of bacterial pneumonia? - the inflammatory process within the meninges leads to increased turbidity and a sluggish flow of CSF leading to organisms inoculating and this leads to increased cranial pressure and can lead to herniation of the brain Clinical manifestations of meningitis? - -fever/chills -headache -altered mental status -light sensitivity -tachy cardia -nuchal rigidity -opisthotonos -petechial rash Kernig's sign - a diagnostic sign for meningitis marked by the person's inability to extend the leg completely when the thigh is flexed upon the abdomen causing back pain Brudzinski's sign - Severe neck stiffness causes a patient's hips and knees to flex when the neck is flexed. What do we test for in the CSF fluid for meningitis? - -the pressure at the time of puncture -appearance of fluid -glucose, protein, WBC What will be the results of a CSF draw with bacterial meningitis? - low glucose and high protein and WBCWhat are s/s of increased cranial pressure? - -decreased LOC -pupillary changes -impaired intraocular movements What is nursing interventions for increased ICP? - Keep HOB at 30 degrees or higher and no excessive coughing nursing interventions for meningitis? - -administer meds -control seizures/prevent injuries -isolation precautions -alleviate symptoms -reduce fever -reduce stimuli group B streptococcus (GBS) can lead to meningitis in __________________. - neonates Prior to the start of the semester, what type of meningitis can college-aged students be vaccinated against? A. Viral meningitis B. Bacterial meningitis C. Aseptic meningitis D. Fungal meningitis - B. Bacterial meningitis A nurse is assessing a client who reports severe headache and a stiff neck. The nurse's assessment reveals positive Kernig's and Brudzinski's signs. Which of the following actions should the nurse perform first? A. Administer antibiotics B. Implement droplet precautionC. Initiate IV access D. Decrease bright lights - B. Implement droplet precaution A client with meningitis is at risk for increased intracranial pressure. Which of the following actions should the nurse plan to take (select all that apply). A. Implement seizure precautions B. Perform Neuro checks QID C. Administer morphine for neck pain D. Turn off lights and TV E. Monitor for impaired extraocular movements F. Encourage the client to cough frequently - A,D,E A client has bacterial meningitis. Which of the following actions should the nurse include in the plan of care (select all that apply). A. Monitor for bradycardia B. Provide an emesis basin at the bedside C. Administer antipyretic medication D. perform a skin assessment E. Keep the HOB flat - B,C,D