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Uncovering the layers of meningitis and encephalitis s and encephalitis JESSICA BURTON is a 22-year-old college An attack on the student home on winter break. Her mother central nervous brought her into the emergency department because she has been running a fever for 2.0 system can be ANCC /AACN the past 2 days, is complaining of a severe CONTACT HOURS life-threatening. headache, and screams in pain when she Whether a patient tries to move her neck. As you assess Jessica, you notice some is facing meningitis unusual findings when checking her neuro- or encephalitis, logic status. Her pupils are equal and reac- both emergencies tive to light, but she reports increased headache pain when you shine the penlight demand immediate into her eyes. She can follow simple com- identification mands, but she seems drowsy and can’t tell and appropriate you the correct date. She can grip both of your hands with equal strength, but her intervention. We’ll grips are somewhat weak. help you understand What’s going on with this patient? what causes these You quickly collaborate with the health care provider on call and discuss your infections, how to assessment findings. You suspect that Jessica pinpoint which type has
Nursing Made Incredibly Easy! – Wolters Kluwer Health
Published: Jul 1, 2007
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