Which assessment finding is most important in determining nursing care for a client with bacterial meningitis? Select all that apply
A) Cloudy cerebral spinal fluid
B) Pain and stiffness of the extremities
C) Purpura of hands and feet
D) Low white blood cell (WBC) count
E) Low red blood cell (RBC) count
F) Low antidiuretic hormone (ADH) levels
A, C
Feedback:
The CSF will be cloudy if bacterial meningitis is the causative agent. Purpura indicates a serious complication of bacterial meningitis (disseminated intravascular coagulation) is occurring and may place the client at risk for amputation of those parts .Pain and stiffness of the extremities is not indicative of meningitis. A rise in RBCs, WBCs, and ADH would be expected.
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