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The nurse is caring for an adolescent in the emergency department. The parents report the child...

The nurse is caring for an adolescent in the emergency department. The parents report the child was fine yesterday. This morning the child complained of fever, joint pain, headache, and vomiting. On assessment, the nurse finds nuchal rigidity and a petechial rash. What should the nurse suspect

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Answer #1

The patient who is an adolescent has following symptoms:

- headache

- vomiting

- fever

- joint pain

- nuchal rigidity or stiffness of neck

- petechial rash

These symptoms have a sudden onset and thus are acute.
The above signs and symptoms suggest that the patient has meningitis. As the patient has a petechial rash which is commonly seen in meningitis caused by Neisseria meningitis it is meningococcal meningitis.

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