A client arrives to the emergency department by ambulance. The client has a possible traumatic brain injury after a fall from a roof. Which of the following assessment findings will the triage nurse report to the provider immediately?

A. Bradycardia is not a typical symptom of meningitis. Instead, meningitis is more likely to cause tachycardia (increased heart rate) as part of the body's response to fever and infection. Bradycardia would not be an expected sign in this context.

B. Fever and chills are common symptoms of meningitis. The infection and inflammation associated with meningitis can cause an elevated body temperature as the body responds to the infection.
C. Nuchal rigidity is a classic sign of meningitis. The inflammation of the meninges causes muscle stiffness and discomfort when trying to bend the neck forward, which is a common finding in this condition.
D. Severe headache is a common symptom of meningitis. The inflammation and irritation of the meninges often result in intense and persistent headaches, which can be one of the primary complaints of patients with meningitis.
E. Brudzinski's sign is a classic clinical sign of meningitis. It indicates meningeal irritation and is often assessed along with other signs to help diagnose meningitis.

A. The client is experiencing apnea and has decreased oxygen saturation, indicating a need for supplemental oxygen.
B. Restraining a client during a seizure is dangerous and can cause injury.
C. This information is crucial for determining the type of seizure and guiding treatment.
D. Placing a tongue depressor in the client's mouth can cause trauma to the teeth and mouth and should never be done.
E. Turning the client to the side helps prevent aspiration of saliva or vomit, protecting the airway.