The nurse working a college health center receives a call from an 18-year-old freshman who says she feels like she is getting sick, and noticed petechiae on her feet an hour ago, and now it has spread to her mid-thigh
The nurse instructs the student to: 1. Go to the Emergency Department immediately.
2. Take two acetaminophens and drink plenty of fluids.
3. Elevate the legs and apply ice.
4. Call her family physician and make an appointment for this week.
1
Rationale: The symptoms reported by this client are highly suspicious of meningococcal meningitis, which is a disease that begins with a feeling of generally not feeling well and a petechial rash on the most distal extremities (hands and feet), and spreads rapidly. This condition is often fatal, and early intervention is essential to survival, so the client should be told to go to the Emergency Department immediately, and the Emergency Department should be notified the client is on her way in, and of her symptoms, so they can isolate her to prevent contamination of others.
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