NUR 417 Final questions with complete solutions

Meningitis is an infection of the _____ and _____; it can be caused by _____ or _____. Which is more serious? correct answer: CSF, meninges; viruses, bacteria, bacterial is more serious If increased ICP/meningitis is suspected, do not lay the patient ____, and don't _____them. correct answer: flat, suction Pts with cerebral plasy may have _____, ______, or _____. correct answer: pressure ulcers, UTIs, or constipation When in doubt, assess _____. correct answer: LOC Febrile seizures are caused by ____ in temperature. correct answer: rapid increase The Hib and PCV vaccines can help to prevent _____. correct answer: bacterial meningitis What are three risk factors for bacterial meningitis? correct answer: Crowed living conditions, penetrating head injury, bacterial infection Viral meningitis is usually preceded by a _____, such as such as cytomegalovirus, adenovirus, mumps, herpes simplex virus, and arbovirus. correct answer: viral infection What are the four main symptoms of meningitis? correct answer: Photophobia ● Nausea ● Irritability ● Headache Unconscious pts should be monitored for _____, since this will increase their _____. You can treat this with _____ since antipyretics might not work. correct answer: hyperthermia, BMR; a cooling blanket Pts in a coma typically lack a _____ reflex, so you need to protect their eyes. correct answer: corneal What is Brudzinki's sign? What is it a sign of? correct answer: Bending knees when neck is flexed - meningitis What is nuchal rigidity? What is it a sign of? correct answer: Inability to flex neck, meningitis Nuchal rigidity, Kernig's sign, and Brudzinki's sign will not appear in ____ with meningitis, and it may or may not appear in children _____ (not reliable). correct answer: newborns, 3 months to 2 years What is Kernig's sign? What is it a sign of? correct answer: Inability to straighten leg at 90 degrees - meningitis In children less than 2, ______ is a late sign of meningitis. correct answer: bulging fontanelles