A nurse obtains a focused health history for a client who is suspected of having bacterial meningitis. Which question should the nurse ask?
a. "Do you live in a crowded residence?"
b. "When was your last tetanus vaccination?"
c. "Have you had any viral infections recently?"
d. "Have you traveled out of the country in the last month?"
ANS: A
Meningococcal meningitis tends to occur in multiple outbreaks. It is most likely to occur in areas of high-density population, such as college dormitories, prisons, and military barracks. A tetanus vaccination would not place the client at increased risk for meningitis or protect the client from meningitis. A viral infection would not lead to bacterial meningitis but could lead to viral meningitis. Simply knowing if the client traveled out of the country does not provide enough information. The nurse should ask about travel to specific countries in which the disease is common, for example, sub-Saharan Africa.
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