480 Week 4: Meningitis Lecture

A client with a positive ​ ​ (a)   will have lower back pain with extension of a flexed knee.

• Kernig's sign
• Brudzinski's sign

A nurse is administering IV vancomycin to a client bacterial meningitis. Which nursing interventions are appropriate? (Select all that apply.)

• Infuse the medication over at least 60 minutes.

• Monitor the client for flushing and hypotension during the infusion.

• Assess the client’s hearing function before initiating therapy.

• Administer the medication via intramuscular injection if the IV is unavailable.

• Obtain a trough level before the next scheduled dose when necessary.

Which interventions would the nurse implement in providing care for a client with meningitis who has a fever? Select all that apply.

• Reduce fever with use of acetaminophen

• Reduce body temperature rapidly to provide relief

• Use a cooling blanket on the patient to reduce fever

• Encourage shivering in the patient to help reduce fever

• Lower temperature by using tepid water sponge baths