The nurse caring for a client with meningitis knows that signs and symptoms of meningitis usually appear abruptly. Which of the following are signs of this condition? Select all answers that apply
A) Impaired bladder function
B) Photophobia
C) Nuchal rigidity
D) Loss of sensation
E) Change in LOC
F) Opisthotonos
B, C, E, F
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Signs and symptoms of meningitis include fever, chills, severe headache, nausea and vomiting, nuchal rigidity (stiff neck), and irritability. A change in LOC is present. Photophobia (intolerance to light) and pain when the eyes move from side to side occur. The affected person may have seizures. A petechial purpuric rash is also possible. Opisthotonos, an acute spasm in which the body is bowed forward, with the head and heels bent backward, is often present Acute transverse myelitis is an inflammatory condition affecting the spinal cord. The person experiences impaired bowel and bladder function, generalized weakness of the extremities, and loss of sensation.
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