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Finall Exam:l NRl 572/l NR572l (Latestl
2026/l 2027l Update)l Advancedl Acutel Carel Managementl Reviewl |Weeksl 5-8l Covered|l Q/Al |l Gradel A|l 100%l Correctl (Verifiedl Answers)l - Chamberlain
Q:l Whatl isl thel cornerstonel diagnosticl procedurel ifl meningitisl isl suspected?
Answer:
lumbarl puncturel andl CSFl analysis
Q:l Thel classicl CSFl abnormalitiesl inl bacteriall meningitisl include:
Answer:
Positivel CSFl bacteriall cultures/Graml stain Polymorphonuclearl (PMN)l leukocytosisl (>100l cells/μL) Increasedl proteinl concentrationl (>0.45l g/L) Increasedl openingl pressurel (>180l mmH2O) Decreasedl glucosel concentrationl (<2.2l mmol/Ll [<40l mg/dL]l and/orl CSF/seruml glucosel ratiol ofl <0.4)
Q:l whatl typel ofl imagingl isl appropriatel forl meningitisl dx?
Answer:
MRIl ofl thel brain -superiorl tol CTl scanl ofl thel head -detectingl areasl ofl cerebrall ischemial andl edema.
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Q:l ifl bacteriall meningitisl isl suspected,l howl soonl shouldl txl bel initiated?
Answer:
withinl 1l hourl ofl presentationl -bloodl culturel collection -empiricl abxl admin
Q:l Empiricl therapyl forl community-acquiredl suspectedl bacteriall meningitisl shouldl include
Answer:
al combinationl ofl -dexamethasone,l -al third-l orl fourth-generationl cephalosporinl (cefepime,l cefotaxime,l orl ceftriaxone)l AND -vancomycin,l PLUS -acyclovir.
Q:l Ampicillinl shouldl bel includingl inl empiricl txl ofl bacteriall meningitisl forl whichl people?
Answer:
-olderl thanl 55l yearsl ofl age -priorl organl transplantation,l -malignancy -pregnancy,l -thosel withl immunosuppressivel medications -thosel withl impairedl cell-mediatedl immunityl duel tol chronicl illness.
Q:l Clientsl withl recentl neurosurgicall proceduresl orl suspectedl hospital-acquiredl meningitisl shouldl bel treatedl empiricallyl with
Answer: 2 / 4
vancomycinl andl meropeneml orl ceftazidime.
Q:l whatl medicationl shouldl bel addedl tol coverl clientsl whol havel evidencel ofl mastoiditis,l sinusitis,l orl otitis?l (meningitis)
Answer:
Metronidazole
Q:l Howl isl virall meningitisl treated?
Answer:
symptomaticallyl withl antipyretics,l analgesics,l andl antiemetics.
Q:l whatl antivirall medicationsl canl bel givenl forl virall meningitis?
Answer:
Acyclovirl (orall orl intravenous)l mayl bel beneficiall inl clientsl with -meningitisl causedl byl HSV-1l orl 2l -severel EBVl orl VZVl infection.
Q:l whatl isl thel recommendedl txl lengthl forl virall meningitis?
Answer:
7-14l daysl withl orall andl IVl antivirall meds
Q:l Intravenousl acyclovirl dose
Answer:
(15-30l mg/kgl perl dayl inl threel dividedl doses)
Q:l IVl acyclovirl isl followedl withl orall antivirals.l Whatl arel they?l whatl arel theirl doses? 3 / 4
Answer:
-acyclovirl (800l mgl fivel timesl daily)l -famciclovirl (500l mgl threel timesl daily) -valacyclovirl (1000l mgl threel timesl daily)l forl al totall coursel ofl 7-14l days
Q:l Whatl doesl dexamethasonel dol forl al patientl withl meningitis?
Answer:
hasl beenl shownl tol decreasel meningeall inflammationl andl neurologicl sequelael suchl asl sensorineurall hearingl loss,l butl onlyl ifl initiallyl givenl withinl thel firstl sixl hoursl afterl antibioticsl arel started
Q:l whatl doesl ofl dexamethasonel shouldl bel givenl tol meningitisl patients?l Howl often?
Answer:
10l mgl ofl dexamethasonel IV -15l tol 20l minl beforel thel firstl dosel ofl antibioticl isl administered.l Thisl dosel shouldl bel repeatedl everyl 6l hoursl forl 4l days.
Q:l howl isl meningitisl txl froml HSV?
Answer:
IVl andl orall antivirall medications -acyclovirl IV -acyclovir,l famciclovir,l orl valacyclovirl oral
Q:l Emergencyl treatmentl ofl increasedl ICP
Answer:
-elevationl ofl thel client'sl headl tol 30l tol 45l degrees -intubationl andl hyperventilation -mannitoll administration.l -Seizures,l present,l mustl bel aggressivelyl controlled.
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