Following a serious bout of bacterial meningitis, the parents of a 14-month-old has noted the child is not responding to verbal commands
The nurse will explain the pathophysiologic principle behind this by educating the patients by which of the following statements?
A)
"This could be caused by the same organism that caused the meningitis, infecting the child's tympanic membrane."
B)
"This may be due to a loss of hair cells and damage to the auditory nerve."
C)
"The ear and the lining of the brain that was infected are all connected together."
D)
"It is common for meningitis to use up all the natural killer cells and therefore increase the risk of having brain tumors develop."
Ans:
B
Feedback:
Deafness or some degree of hearing impairment is the most common serious complication of bacterial meningitis in infants and children. The mechanism causing hearing impairment seems to be suppurative labyrinthitis or neuritis resulting in the loss of hair cells and damage to the auditory nerve. There is no direct connection between the meninges of the brain and the tympanic membrane. Bacterial meningitis is not associated with an increased risk of developing a brain tumor.
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