solved

Question
Answered step-by-step
Asked by ladycare

The question below is a case study please can you help me 

 

A college student comes to the student health department and complains of a “bad” headache and sore neck. He wants to have some pain medication and wants to know if he can have a referral for a chiropractor so he can return to basketball practice.  The nurse checks his vital signs which are T 101 degrees F, BP 84/52, HR 124, RR 24. When the nurse uses a penlight to check the patient’s pupils, the patient complains of discomfort from the light shining in his eyes.

 

The nurse suspects the patient has meningitis.  The nurse is going to complete the following assessments. 

Please explain each one and why it is used.

 

Neurological assessment including the Glasgow Coma Scale and check of the cranial nerves 

Brudzinski and Kernig’s signs

Inspecting the skin for a skin rash and petechiae

 

The nurse quickly assesses risk factors for meningitis—what are the risk factors—which of these does the nurse suspect in this patient?

 

The nurse will prepare the patient for what test to diagnose meningitis.

What other diagnostic tests would be used to confirm or rule out the diagnosis of meningitis? 

What samples are essential to obtain before antibiotics are started? 

What kind of isolation might be ordered for this patient?

 

The following medications have been ordered while the physician waits for the results of the cultures. 

Explain why each is used and how the nurse should monitor the patient receiving them.

 

Ceftazidime IV

Hydrocodone as needed for pain

Dexamethasone IV daily

Acetaminophen as needed for fever above 100.4 degrees F

Phenytoin IV 

Lorazepam prn 

SCIENCE
HEALTH SCIENCE
NURSING
PHARM NSG220

******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."