The nurse receives new prescriptions for a 6-month-old client with bacterial meningitis. Which action is the priority of care?

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Bacterial meningitis is an inflammation of the membranes covering the brain and spinal cord (ie, meninges) caused by a bacterial infection. The inflammatory process and bacterial growth within the meninges lead to increased volumes of cerebrospinal fluid and, subsequently, increased intracranial pressure (ICP). Without intervention, increased ICP may lead to nerve ischemia, permanent functional impairment (eg, hearing loss, visual impairment, paralysis), brain damage, herniation, and death. The initial priority of nursing care is protecting other clients and staff from exposure, as bacterial meningitis is highly contagious and transmitted by droplets. After isolating the client, the nurse should initiate prescribed antibiotics as quickly as possible, as bacterial meningitis can progress rapidly and lead to death without treatment (Option A). (Options B and C) Clients with meningitis are at increased risk for seizures. Implementation of a low-stimulation environment (eg, low lighting, minimal noise, uninterrupted rest periods) and seizure precautions (eg, padded side rails) are important interventions. However, initiating antibiotic therapy is the priority. (Option D) An increasing head circumference may indicate increasing volumes of cerebrospinal fluid and increased ICP. Monitoring for new or worsening signs of increased ICP is important but may be performed after initiating prescribed antibiotics. Educational objective: Bacterial meningitis is an inflammation of the membranes covering the brain and spinal cord that can lead to severe complications (eg, hearing loss, brain damage) or death without treatment. To reduce the risk of complications, the nurse should prioritize initiation of prescribed antibiotic therapy as soon as possible.

The Nurse Receives New Prescriptions for a 6-Month-Old Client with Bacterial