Poor tolerance of light
A private room down the hall from the nurses’ station
An isolation room three doors from the nurses’ station
A semiprivate room with a 32-year-old client who has viral meningitis
A two-bed room with a client who previously had bacterial meningitis
Instituting droplet precautions
Administering acetaminophen (Tylenol)
Obtaining history information from the parents
Orienting the parents to the pediatric unit
Administer codeine 15 mg orally for the patient’s headache.
Infuse ceftriaxone (Rocephin) 2000 mg IV to treat the infection.
Give acetaminophen (Tylenol) 650 mg orally to reduce the fever.
Give furosemide (Lasix) 40 mg IV to decrease intracranial pressure.
The student enters the room without putting on a mask and gown.
The student instructs the family that visits are restricted to 10 minutes.
The student gives the patient a warm blanket when he says he feels cold.
The student checks the patient’s pupil response to light every 30 minutes.
A 26-year-old patient with a basilar skull structure who has clear drainage coming out of the nose
A 42-year-old patient admitted several hours ago with a headache and diagnosed with a ruptured berry aneurysm.
A 46-year-old patient who was admitted 48 hours ago with bacterial meningitis and has an antibiotic dose due
A 65-year-old patient with a astrocytoma who has just returned to the unit after having a craniotomy
Institute seizure precautions
Assess neurologic status
Place in respiratory isolation
Assess vital signs
Cerebrovascular accident (CVA)
“I’m so depressed because I can’t have any visitors for a week.”
“Thank goodness, I’ll only be in isolation for 24 hours.”
“The nurse told me that my urine and stool are also sources of meningitis bacteria.”
“The doctor is a good friend of mine and won’t keep me in isolation.”
Flexion of the hips when the neck is flexed from a lying position
Calf pain when the foot is dorsiflexed
Inability of the child to extend the legs fully when lying supine
Pain when the chin is pulled down to the chest
Pain on flexion of the hip and knee
Nuchal rigidity on flexion of the neck
Pain when the head is turned to the left side
Dizziness when changing positions
Tenseness of the anterior fontanel
Positive Babinski reflex
Negative scarf sign
Throat and ear culture.
Speech pattern may be altered
Respiratory isolation is necessary for 24 hours after antibiotics are started
Perform skin culture on the macular popular rash
Expect abnormal general muscle contractions
Amoxicillin and gentamicin
Benzylpenicillin and rifampicin
Cefotaxime and vancomycin