The nurse correctly identifies which symptoms as the neurological findings associated with symptoms of meningococcus?
Standard Text: Select all that apply.
1. Seizures
2. Photophobia
3. Nuchal rigidity
4. Vomiting
5. Headache
Correct Answer: 1,2,3,5
Rationale 1: Seizures are a symptom of meningococcus.
Rationale 2: Photophobia is a symptom of meningococcus.
Rationale 3: Nuchal rigidity is a symptom of meningococcus.
Rationale 4: Vomiting is a symptom of other neurological disorders but is not a primary symptom of meningococcal infection.
Rationale 5: Headache is a symptom of meningococcus.
Global Rationale: Early meningococcal infection is very difficult to discriminate from other viral or bacterial infections, because it initially presents with nonspecific fever and rash; frequently symptoms appear less than 24 hours before individuals are hospitalized. Neurologic symptoms rapidly develop, including nuchal rigidity, headache, photophobia, and seizures. Vomiting is a symptom of other neurological disorders but is not a primary symptom of meningococcal infection.
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