ATI RN NURSING CARE OF CHILDREN NGN PROCTORED NEWEST 2024 COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)

Expected findings of meningitis - ANSWERS,Photophobia Nausea Irritability Headache newborn findings of meningitis - ANSWERS,-no illness present at birth -poor muscle tone,weak cry, poor suck, refuses feeding, and V/D. -bulging fontanels are late sign. 3 mth to 2 years findings of meningitis - ANSWERS,seizures with high-pitched cry fever and irritability bulging fontanels possible nuchal rigidity poor feeding 2 years through adolescence physical assessment of meningitis - ANSWERS,seizures (initial sign) Positive Brudzinski's sign Positive Kernig's sign Nuchal rigidity fever/chills headache vomiting chronic draining ear (with pneumococcal infection) Petechiae or purpuric-type rash (with meningococcal infection) Brudzinski's sign - ANSWERS,pain with resistance and involuntary flex of hip/knee when neck is flexed to chest when lying supine Kernig's sign - ANSWERS,a diagnostic sign for meningitis marked by the person's inability to extend the leg completely when the thigh is flexed upon the abdomen and the person is sitting or lying down Lab tests for viral meningitis (CSF analysis) - ANSWERS,clear color increase WBC normal or elevated protein content normal glucose content negative gram stain Lab tests for bacterial meningitis (CSF analysis) - ANSWERS,cloudy color increase WBC increase protein content decrease glucose content positive gram stain Nursing actions for lumbar puncture - ANSWERS,empty bladder side-lying position monitor for bleeding,hematoma, infection medications to treat meningitis - ANSWERS,Antibiotic corticosteroid: dexamethasone Analgesic (acetaminophen with codeine