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Nursing interventions

- The nursing interventions for meningitis are aimed at providing supportive care, monitoring the patient’s condition, preventing complications, and educating the patient and family.

- Some of the nursing interventions for meningitis include :

  • Assessing the patient’s vital signs, neurological status, level of consciousness, pupillary response, cranial nerve function, and Glasgow coma scale score .
  • Administering the prescribed medications, such as antibiotics, antipyretics, analgesics, anticonvulsants, and corticosteroids .
  • Maintaining the patient’s hydration and nutrition, such as by providing intravenous fluids, oral fluids, or enteral feeding .
  • Implementing infection control measures, such as by isolating the patient, wearing personal protective equipment, and following standard precautions .
  • Reducing the patient’s environmental stimuli, such as by dimming the lights, minimizing noise, and avoiding unnecessary procedures .
  • Elevating the patient’s head to 30 degrees and maintaining a neutral position to reduce intracranial pressure and promote venous drainage .
  • Applying cold compresses or ice packs to the patient’s forehead or neck to reduce fever and discomfort .
  • Providing comfort measures, such as by repositioning the patient, massaging the neck muscles, or applying a soft collar .
  • Educating the patient and family about the disease, its transmission, its treatment, its complications, and its prevention .
  • Referring the patient and family to appropriate resources, such as social workers, counselors, or support groups .

Questions on Nursing interventions

Correct Answer is ["A","B","C","E"]

Explanation

A stiff neck is a hallmark sign of meningitis, particularly in cases of bacterial meningitis. It is caused by the irritation and inflammation of the meninges surrounding the spinal cord.

Correct Answer is D

Explanation

Viral meningitis is not caused by a fungus, and environmental sources are not the reservoirs for viral meningitis transmission. It is mainly transmitted from person to person.

Correct Answer is B

Explanation

This statement is not appropriate because meningococcal septicemia is a different condition from meningitis. While both can be caused by Neisseria meningitidis bacteria, septicemia is characterized by a bloodstream infection, while meningitis affects the meninges.

Correct Answer is D

Explanation

Photophobia is a common symptom of meningitis, but it is not specific to older adults. It may be present in both younger and older patients with meningitis.

Correct Answer is B

Explanation

This statement is incorrect. During a lumbar puncture, the patient is usually asked to curl up in a fetal position, bringing the knees close to the chest and the chin to the chest. This position helps to widen the spaces between the spinal bones, making it easier for the healthcare provider to insert the needle into the subarachnoid space. It does not involve bending the neck forward.

Correct Answer is C

Explanation

Group B streptococcus is a significant cause of neonatal meningitis but is less commonly responsible for meningitis in adults.

Correct Answer is C

Explanation

Contact with contaminated soil is not a typical mode of transmission for viral meningitis. It might be relevant for some soil-transmitted infections but not for viral meningitis.

Correct Answer is A

Explanation

Meningitis of unknown origin refers to cases where the cause of meningitis remains unidentified after thorough investigations. It is not a specific type of meningitis but rather a descriptive term for cases with uncertain etiology.

Correct Answer is C

Explanation

A computed tomography (CT) scan is a diagnostic imaging test that uses X-rays to create detailed cross-sectional images of the body. While it can help identify structural abnormalities in the brain, such as bleeding or tumors, it is not the primary test for confirming meningitis. CT scans may show signs of inflammation, but they cannot definitively diagnose meningitis or distinguish between bacterial, viral, or fungal causes.

Correct Answer is ["A","C","D","E"]

Explanation

Monitoring vital signs and neurological status is crucial for a client with meningitis. Vital signs such as temperature, heart rate, respiratory rate, and blood pressure should be closely monitored to assess for any signs of worsening condition or complications. Neurological assessments help identify changes in the client's mental status, reflexes, and cranial nerve function.

Correct Answer is C

Explanation

Elevated protein levels in the CSF can be seen in various conditions, including meningitis. While it indicates increased inflammation and breakdown of cells, it is not specific to bacterial or fungal infection and can be present in viral or other forms of meningitis.

Correct Answer is B

Explanation

Dehydration does not typically cause pink-colored CSF. Dehydration may lead to a higher concentration of solutes in the CSF, but it does not affect its coloration.

Prophylactic corticosteroids may be used in certain cases of bacterial meningitis to reduce inflammation and prevent complications, but they are not indicated for the treatment of viral meningitis.

Practicing good hygiene habits, such as regular handwashing, can help prevent the spread of meningitis. Since meningitis can be transmitted through respiratory secretions, practicing good hygiene is essential in reducing the risk of infection transmission.

Avoiding close contact with people with respiratory infections is a good practice to reduce the risk of various respiratory infections, including those that can cause meningitis. However, it is not the recommended specific preventive measure for a client planning to travel to a high-risk area for me

Voriconazole is a broad-spectrum antifungal medication that is also used to treat fungal meningitis. It is particularly effective against Aspergillus species, which can cause invasive fungal infections, including meningitis.

Parasitic meningitis is not prevalent in temperate regions during the summer. Parasitic meningitis is rare and is usually associated with specific parasitic infections, such as those caused by Naegleria fowleri or Angiostrongylus cantonensis, which are typically found in tropical or subtropical regi

Parasitic meningitis is primarily caused by parasites and is not typically associated with any specific season or region. It is a rare form of meningitis and is not more prevalent in tropical regions during winter.

The statement comparing meningococcal meningitis with fungal meningitis' mortality rate is not accurate. While meningococcal meningitis can be severe, fungal meningitis is generally associated with a higher mortality rate, especially in individuals with weakened immune systems.

With appropriate and timely treatment, the mortality rate of pneumococcal meningitis can be relatively low. However, it is still a severe and potentially life-threatening condition, and prompt medical attention is crucial to avoid complications.

A chest X-ray is not directly related to diagnosing meningitis. It is used to evaluate lung and heart conditions, making it irrelevant in confirming meningitis.

<p>Parasitic meningitis is not a common form of meningitis and is usually associated with specific parasitic infections, which are less likely to occur in immunocompromised patients.</p>

<p>Hygiene practices, such as regular handwashing and proper respiratory etiquette, play a significant role in preventing meningitis transmission. By reducing the spread of respiratory and oral pathogens, the risk of meningitis can be lowered. However, it is important to note that not all forms of m

<p>Vaccination against Neisseria meningitidis is not directly relevant to preventing Haemophilus influenzae type b meningitis. These are two different types of bacteria that cause different forms of meningitis, and vaccination against Neisseria meningitidis would not protect against Haemophilus infl
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