A client has been diagnosed with pneumococcal meningitis. Which statement by the client indicates an accurate understanding of the condition?

Choice A rationale:

All types of meningitis cannot be prevented by vaccination. While vaccinations are available for certain types of bacterial and viral meningitis, they do not cover all possible pathogens that can cause the disease.

Choice B rationale:

Meningitis can be prevented through prophylaxis measures, but this statement is not entirely accurate. Prophylaxis may be given to close contacts of individuals with certain types of bacterial meningitis to prevent its spread, but it does not apply to all cases of meningitis.

Choice C rationale:

Infection control measures are effective in preventing meningitis outbreaks. This statement is incorrect as infection control measures are crucial in controlling the spread of infections, but they cannot entirely prevent all cases of meningitis.

Choice D rationale:

Hygiene practices, such as regular handwashing and proper respiratory etiquette, play a significant role in preventing meningitis transmission. By reducing the spread of respiratory and oral pathogens, the risk of meningitis can be lowered. However, it is important to note that not all forms of meningitis are entirely preventable through hygiene practices alone, which is why vaccination remains a critical preventive measure for specific types of meningitis.

Choice A rationale:

This statement is incorrect. A lumbar puncture involves the insertion of a needle, not a catheter, into the subarachnoid space of the spinal canal to collect cerebrospinal fluid (CSF) It is not done in blood vessels.

Choice B rationale:

This statement is accurate. A lumbar puncture is performed to obtain a sample of cerebrospinal fluid for analysis. It helps to diagnose and differentiate between bacterial and viral meningitis based on CSF characteristics, such as cell count, glucose levels, and presence of bacteria or viruses.

Choice C rationale:

This statement is incorrect. A lumbar puncture is uncomfortable but is typically not an extremely painful procedure. It is often done with local anesthesia, and the discomfort is usually temporary.

Choice D rationale:

This statement is incorrect. During a lumbar puncture, the patient is usually asked to curl up in a fetal position, bringing the knees close to the chest and the chin to the chest. This position helps to widen the spaces between the spinal bones, making it easier for the healthcare provider to insert the needle into the subarachnoid space. It does not involve bending the neck forward.