A 16-year-old boy complains to the school nurse of headaches and a stiff neck. Which of the following would lead the nurse to suspect that the child may have bacterial meningitis?
A) Fixed and dilated pupils
B) Frequent urination
C) Sunset eyes
D) Sunlight is "too bright"
D
Response:
Photophobia, or intolerance to light, is another symptom of bacterial meningitis. Fixed and dilated pupils are a symptom of head trauma; this warrants prompt intervention. Frequent urination is a symptom of a type I Arnold-Chiari malformation. Sunset eyes indicates increased intracranial pressure, which is typical of hydrocephalus.
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The nurse is aware that users of inhalants and hallucinogens are a danger to themselves and others because these drugs cause: (Select all that apply.)
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A patient who had breast augmentation surgery last year presents to the clinic and says, "My right breast is so hard all over.". The nurse would assess for development of which likely condition?
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An elderly patient tells the nurse that she had taken a certain medication for blood pressure control in her 30s but it had been changed
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