NCLEX Review & Nursing School

Meningitis

– an inflammation of the meninges within the brain and spinal cord.

• * Usually caused by Niesseria meningitidis, Group B Strep and Streptococcus pneumoniae

Assessment findings on the patient:

• * Positive Brudzinski’s Sign
• * Positive Kernig’s Sign
• Chills
• Fever
• Headache
• Malaise

Nuchal Rigidity– Stiff Neck

Kernig’s Sign– Contraction or pain in the hamstring muscle when attempting to extend the leg, when the hip is flexed.

Diagnostic Evaluation:

• Lumbar Puncture
• Chest X rays

Nursing Interventions:

• Administer “antibiotics” IV as ordered.
• Patient is on respiratory isolation for 24 hrs. after initiation on antibiotic therapy.
• Provide Bed Rest.  Keep room quiet and dark.