The nurse correctly identifies which symptoms as the neurological ...

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The nurse correctly identifies which symptoms as the neurological findings associated with symptoms of meningococcus?
 
  Standard Text: Select all that apply.
  1. Seizures
  2. Photophobia
  3. Nuchal rigidity
  4. Vomiting
  5. Headache

Question 2

The nurse correctly understands that the diphtheria toxoid is created by adding which substance to the diphtheria toxin?
 
  1. Yeast
  2. Mercury
  3. Formalin
  4. Mold

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Answer to Question 1

Correct Answer: 1,2,3,5
Rationale 1: Seizures are a symptom of meningococcus.
Rationale 2: Photophobia is a symptom of meningococcus.
Rationale 3: Nuchal rigidity is a symptom of meningococcus.
Rationale 4: Vomiting is a symptom of other neurological disorders but is not a primary symptom of meningococcal infection.
Rationale 5: Headache is a symptom of meningococcus.
Global Rationale: Early meningococcal infection is very difficult to discriminate from other viral or bacterial infections, because it initially presents with nonspecific fever and rash; frequently symptoms appear less than 24 hours before individuals are hospitalized. Neurologic symptoms rapidly develop, including nuchal rigidity, headache, photophobia, and seizures. Vomiting is a symptom of other neurological disorders but is not a primary symptom of meningococcal infection.

Answer to Question 2

Correct Answer: 3
Rationale 1: Yeast is not a part of vaccines, except for a slight relationship to the hepatitis B vaccine.
Rationale 2: Mercury has been removed from vaccines for safety's sake.
Rationale 3: Formalin is added to the diphtheria toxin to produce diphtheria toxoid.
Rationale 4: Mold is not added to any vaccines.
Global Rationale: Diphtheria toxin is produced by organisms in culture that are rendered inactive by the addition of formalin. Yeast is not a part of vaccines, except for a slight relationship to the hepatitis B vaccine. Mercury has been removed from vaccines for safety's sake. Mold is not added to any vaccines.

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