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ATI: RN Nursing care of Children Questions and Answers $12.49   Add to cart

Exam (elaborations)

ATI: RN Nursing care of Children Questions and Answers

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ATI: RN Nursing care of Children Questions and AnswersATI: RN Nursing care of Children Questions and AnswersATI: RN Nursing care of Children Questions and AnswersATI: RN Nursing care of Children Questions and AnswersATI: RN Nursing care of Children Questions and AnswersATI: RN Nursing care of ...

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  • August 15, 2024
  • 48
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • ATI RN
  • ATI RN
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MASTER01
ATI: RN Nursing care of Children
Questions and Answers

Meningitis

✓ ~~~ an inflammation of the CSF and meninges (which are connective tissues that cover
brain and spinal cord).



Reye Syndrome

✓ ~~~ life-threatening disorder that involved acute encephalopathy and fatty changes of the
liver.



Viral (aseptic) meningitis

✓ ~~~ usually requires only supportive care for recovery



Bacterial (septic) meningitis

✓ ~~~ contagious infection; prognosis depends on how quickly care is initiated.



bacterial meningitis risk factors

✓ ~~~ -infections caused by bacterial agents (meningococcoal), streptococcus
pneumoniae, Hib B, e.coli.
-injuries that provide direct access to CSF

-crowded living conditions




viral meningitis risk factors

✓ ~~~ viral illnesses such as:
- mumps

,-herpes simplex virus

-arbovirus

-adenovirus

-cytomegalovirus




Expected findings of meningitis

✓ ~~~ Photophobia
Nausea

Irritability

Headache




newborn findings of meningitis

✓ ~~~ -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

✓ ~~~ seizures with high-pitched cry
fever and irritability

bulging fontanels

possible nuchal rigidity

poor feeding

,2 years through adolescence physical assessment of meningitis

✓ ~~~ 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

✓ ~~~ pain with resistance and involuntary flex of hip/knee when neck is flexed to chest
when lying supine



Kernig's sign

✓ ~~~ 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)

✓ ~~~ clear color
increase WBC

, normal or elevated protein content

normal glucose content

negative gram stain




Lab tests for bacterial meningitis (CSF analysis)

✓ ~~~ cloudy color
increase WBC

increase protein content

decrease glucose content

positive gram stain




Nursing actions for lumbar puncture

✓ ~~~ empty bladder
side-lying position

monitor for bleeding,hematoma, infection




medications to treat meningitis

✓ ~~~ Antibiotic
corticosteroid: dexamethasone

Analgesic (acetaminophen with codeine)




dexamethasone

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