A 16-year-old boy complains to the school nurse of headaches and ...

[bobbysung]

A 16-year-old boy complains to the school nurse of headaches and a stiff neck. Which of the following would lead the nurse to suspect that the child may have bacterial meningitis?
 
  A) Fixed and dilated pupils
  B) Frequent urination
  C) Sunset eyes
  D) Sunlight is too bright

Question 2

As a result of seizure activity, a CT scan was performed and showed that an 18-month-old child has an intracranial arteriovenous malformation. The nurse would focus measures on prevention of which of the following?
 
  A) Drug interactions
  B) Developmental disabilities
  C) Hemorrhagic stroke
  D) Respiratory paralysis

[ryrychapman11]

Answer to Question 1

D
Response:
Photophobia, or intolerance to light, is another symptom of bacterial meningitis. Fixed and dilated pupils are a symptom of head trauma; this warrants prompt intervention. Frequent urination is a symptom of a type I Arnold-Chiari malformation. Sunset eyes indicates increased intracranial pressure, which is typical of hydrocephalus.

Answer to Question 2

C
Response:
The nurse would focus measures on prevention of hemorrhagic stroke. Drug interactions are a risk for children who are treated with combinations of anticonvulsants for epilepsy. Children with hydrocephalus are at an increased risk for developmental disabilities. Respiratory paralysis is a risk of botulism, which typically affects infants less than 6 months of age.

[bobbysung]

TYSM

[alvinum]

Excellent