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Diagnostics
Nursing Interventions
Short answer
100
Two types of pain scales to use with children
What is FACES, FLACC
100
Meningitis can be caused by a ____ or ______.
What is bacteria or a virus
100
Diagnostic test to confirm meningitis
What is a lumbar puncture
100
Neurologic sequelae after meningitis
What is hearing loss, gross neurologic deficits, behavioral and intellectual disorders
100
The childs room should be
What is dark and quiet
200
___ the head of the bed will decrease ICP
What is raising the head of the bed to 15-30 degrees
200
Signs of meningitis:
What is nuchal rigity, fever, photosensitivity, vomiting, headache, nausea.
200
Raise the childs leg with the knee flexed, then extend the childs leg at the knee, if any resistance is felt, this is a positive ___
What is Kernigs Sign
200
Low sodium levels may indicate:
What is SIADH
200
What position is the most comfotrable for most children with meningitis?
What is opisthotonic position
300
The brain is made up of blood, csf, and brain tissue. When one of these increases, ICP increases. What hypothesis is this?
What is the Kellie Monroe hypothesis
300
Signs of meningitis in the infant:
What is a change in feeding pattern, bulging/flat anterior fontanel, lethargy, irritability.
300
Flex the childs head while in a supine position, if this action makes the hips or knees flex involuntarily, this is a positive___
What is Brudzinski sign
300
If SIADH occurs, fluids will be ___
What is restricted
300
What assessment should you arrange for the child prior to discharge?
What is a hearing assessment
400
Which type of meningitis is more serious?
What is bacterial meningitis
400
What was the leading cause of meningitis prior to the vaccine?
What is Haemophilus Influenzae type B
400
Antibiotics must cross the __ __ __ to work
What is the blood brain barrier
400
How long is a child with bacterial meningitis contagious?
What is after 24 hours of antibiotics
400
What is the position of the child during a lumbar puncture
What is side lying
500
Which drug given may reduce neurologic sequelae
What is dexamethasone
500
What primary infections can cause meningitis?
What is otitis media, sinus infection, pharyngitis, cellulitis
500
Commonly used abx to treat meningitis
What is ampicillin, aminoglycosides, cefoxamine, ceftriaxone, penicillin G, and vancomycin.
500
How do you prevent meningitis?
What is a vaccination
500
How is meningitis transmitted?
What is through respiratory secretions: kissing or sharing drinks