Case Study
The nurse is caring for a new admission on a pediatric unit.
Review the electronic health record (EHR) before answering
each question
Recognize Cues
Highlight the assessment findings that are concerning to the nurse.
18-year-old client admitted to the unit accompanied by parent.
Client is a freshman in college, who lives in the dormitory , and
returned home due to illness. Client reports having a headache,
stiff neck, and sensitivity to light . Breath sounds clear , heart
rate regular without murmur . Skin pink, warm, and
dry . Pupils equal, round, and reactive to light . Vital signs: T P
101.5°F (38.6°C)
The assessment findings that are concerning to the nurse
are that the client lives in a college dormitory; has had a
headache, stiff neck, and sensitivity to light; and has a
fever.
Case Study
The nurse is caring for a new admission on a pediatric unit.
Review the electronic health record (EHR) before answering
each question.
Question
For each finding, indicate if the finding is consistent with the disease process of viral
meningitis, bacterial meningitis, or head injury. Each finding may support more than one
disease process.
Viral Bacterial Head
Meningitis Meningitis Injury
This study source was downloaded by 100000897367967 from CourseHero.com on 12-10-2025 09:26:52 GMT -06:00
https://www.coursehero.com/file/252998561/NR-328-Week-6-Edapt-Case-Studydocx/
, Fever x x
Headache x x x
Living in a college x
dormitory
Sensitivity to light x x
Stiff neck x x
Viral Bacterial Head
Meningitis Meningitis Injury
Vomiting x x x
Fever, headache, stiff neck, vomiting, and sensitivity to light
are associated with viral meningitis.
Fever, headache, stiff neck, vomiting, sensitivity to light, and
living in a college dormitory are associated with bacterial
meningitis.
Headache and vomiting are associated with a head injury.
Question
Which diagnostic tests does the nurse anticipate the health
care provider will order? Select all that apply.
Lumbar puncture Complete blood
count Blood culture
The nurse anticipates the health care provider will order a
blood culture, lumbar puncture, and complete blood count.
Question
For each potential nursing action, indicate whether the action is indicated or not indicated for the
care of the client.
This study source was downloaded by 100000897367967 from CourseHero.com on 12-10-2025 09:26:52 GMT -06:00
https://www.coursehero.com/file/252998561/NR-328-Week-6-Edapt-Case-Studydocx/
The nurse is caring for a new admission on a pediatric unit.
Review the electronic health record (EHR) before answering
each question
Recognize Cues
Highlight the assessment findings that are concerning to the nurse.
18-year-old client admitted to the unit accompanied by parent.
Client is a freshman in college, who lives in the dormitory , and
returned home due to illness. Client reports having a headache,
stiff neck, and sensitivity to light . Breath sounds clear , heart
rate regular without murmur . Skin pink, warm, and
dry . Pupils equal, round, and reactive to light . Vital signs: T P
101.5°F (38.6°C)
The assessment findings that are concerning to the nurse
are that the client lives in a college dormitory; has had a
headache, stiff neck, and sensitivity to light; and has a
fever.
Case Study
The nurse is caring for a new admission on a pediatric unit.
Review the electronic health record (EHR) before answering
each question.
Question
For each finding, indicate if the finding is consistent with the disease process of viral
meningitis, bacterial meningitis, or head injury. Each finding may support more than one
disease process.
Viral Bacterial Head
Meningitis Meningitis Injury
This study source was downloaded by 100000897367967 from CourseHero.com on 12-10-2025 09:26:52 GMT -06:00
https://www.coursehero.com/file/252998561/NR-328-Week-6-Edapt-Case-Studydocx/
, Fever x x
Headache x x x
Living in a college x
dormitory
Sensitivity to light x x
Stiff neck x x
Viral Bacterial Head
Meningitis Meningitis Injury
Vomiting x x x
Fever, headache, stiff neck, vomiting, and sensitivity to light
are associated with viral meningitis.
Fever, headache, stiff neck, vomiting, sensitivity to light, and
living in a college dormitory are associated with bacterial
meningitis.
Headache and vomiting are associated with a head injury.
Question
Which diagnostic tests does the nurse anticipate the health
care provider will order? Select all that apply.
Lumbar puncture Complete blood
count Blood culture
The nurse anticipates the health care provider will order a
blood culture, lumbar puncture, and complete blood count.
Question
For each potential nursing action, indicate whether the action is indicated or not indicated for the
care of the client.
This study source was downloaded by 100000897367967 from CourseHero.com on 12-10-2025 09:26:52 GMT -06:00
https://www.coursehero.com/file/252998561/NR-328-Week-6-Edapt-Case-Studydocx/
