A patient is being treated in the Neurology Unit for Meningitis. Which of these is a priority assessment for the nurse to make?

A patient is being treated in the Neurology Unit for Meningitis. Which of these is a priority assessment for the nurse to make?

1. Assess the patient for nuchal rigidity
2. Determine the patient’s past exposure to infectious organisms
3. Check the patient’s WBC lab values
4. Monitor for increased lethargy and drowsiness

1. Assess the patient for nuchal rigidity
Incorrect – Although neck stiffness can be a symptom of Meningitis, it is not used to define meningitis, neither is it a sign of further neurological deterioration.

2. Determine the patient’s past exposure to infectious organisms
Incorrect – Although this is an important part of the history gathering process, and meningitis is most often caused by a viral or bacterial infection, it is not the priority assessment.

3. Check the patient’s WBC lab values
Incorrect – Although WBCs do rise during an infection like Mengingitis, it is not the priority assessment.

Correct Answer: 4. Monitor for increased lethargy and drowsiness
Correct – Lethargy and drowsiness indicate a decreased level of consciousness, which is the cardinal sign of increased ICP (Intracranial Pressure), which can be life-threatening.