Question

read the scenario then answer the question : SCENARIO: Lady states that she started with a sinus infection about a week ago but was too busy studying to go to the doctor ad was just trying to " wait it out" until she returned to her hometown. she states that her vision is slightly blurry but denies double vision. she describes her headaches as " hurting all over" she prefers to keep her neck straight since it hurts to bend it. she denies any rashes or weakness. she was running a low grade fever this past week but today was the first that it went high. she said she had shaking chills just before her fever spiked QUESTION : to further clarify lady's risk of contracting specific types of meningitis, which questions would be most appropriate ?

select one : 1) have you received the Haemophilus influenzae vaccine?

2) are you currently using birth control?

3) how many hours do you sleep each night ?

4) have you had any recent concussions ?

QUESTION : select all other diagnostic tests that would help physician with Lady's diagnosis and treatment . there are 6 correct answer:

select 6

1) gram stain of CFS

2) skull x-ray

3) blood culture

4) magnetic resonance imaging ( MRI)

5) abdominal ultrasound

6) culture and sensitivity of CSF

7) nasopharyngeal swab and culture

8) serum and urine osmolality

9) electrocardiogram ( ECG)

QUESTION: your care of plan includes frequently monitoring lady for complications. which complication is lady most risk for developing ?

select one :

1) seizure

2) Thrombophlebitis

3) organ failure

4) pneumonia

Answer 1

1^st part

The most appropriate question would be:

have you received the Haemophilus influenzae vaccine?

Bacteria Haemophilus influenzae was a common cause of meningitis in babies and young children.

Bacterial meningitis starts when bacteria get into the bloodstream from the sinuses' ears or throat.

2^nd part

test that will help in diagnosis and treatment:

1. gram stain of CSF
2. skull x-ray
3. blood culture
4. magnetic resonance imaging ( MRI)
5. culture and sensitivity of CSF
6. nasopharyngeal swab and culture

3^rd part

A most common complication is SEIZURE