SOLVED338

0900: Client reports they have had “the worst headache” for two days. The client reports feeling “feverish” and “pain when I look into the light.” The client states, “It keeps getting worse and worse. I’ve never had a headache like this.” Physical Exam: General: uncomfortable, wearing sunglasses HEENT: oropharynx clear, mucous membranes moist, photophobia Respiratory: breath sounds clear bilaterally Cardiovascular: S1, S2, regular rhythm Skin: warm, dry Neurologic: oriented to person and place, but not time, nuchal rigidity, positive Kernig sign 1000: Vital Signs 0900: Blood Pressure 129/87 mm Hg Heart Rate 82/min Respiratory Rate 18/min Temperature 37.4° C (99.4° F) 1030: Blood Pressure 139/81 mm Hg Heart Rate 98/min Respiratory Rate 20/min Diagnostic Results 0930: Laboratory Results 0930: WBC 16,200 mm3 (5000 to 10,00mm3) Cerebrospinal Fluid: Color cloudy RBC 0 WBC Total 16 cells/μL (0 to 5 cells/μL) Neutrophils present Culture and sensitivity N. meningitides, sensitivity pending Glucose 30 mg/dL (50 to 75 mg/dL) Lactic acid 40 mg/dL (10 to 25 mg/dL) Complete the following sentence by using the lists of options. The nurse suspects that the client will be diagnosed with Select… migraine headache, meningitis, hydrocephalus, subarachnoid hemorrhage as evidenced by the client’s Select… photophobia, CSF culture results,
SCIENCE
HEALTH SCIENCE
NURSING

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