A nurse is assessing an older adult patient for possible meningitis. Which of the following symptoms would the nurse be particularly concerned about in this age group?

Choice A rationale:

Meningococcal meningitis is not mainly seen in infants. It can affect individuals of all ages, but infants and young children are more susceptible to certain types of bacterial meningitis, such as Haemophilus influenzae type b.

Choice B rationale:

Meningococcal meningitis is primarily transmitted through respiratory droplets, close contact with an infected person, or exposure to contaminated respiratory or throat secretions. It is not primarily linked to regions with contaminated water.

Choice C rationale:

Meningococcal meningitis can progress rapidly and cause death within hours if left untreated. Therefore, early recognition and prompt medical treatment are essential to improve outcomes.

Choice D rationale:

The statement comparing meningococcal meningitis with fungal meningitis' mortality rate is not accurate. While meningococcal meningitis can be severe, fungal meningitis is generally associated with a higher mortality rate, especially in individuals with weakened immune systems.

Choice A rationale:

Fever is a common sign of meningitis, regardless of its cause. It is often accompanied by other symptoms such as headache and irritability.

Choice B rationale:

A high-pitched cry is a classic sign of meningitis in infants and young children, especially in bacterial meningitis cases. The inflammation in the meninges can cause irritation of the central nervous system, leading to this specific cry.

Choice C rationale:

Altered mental status is a significant sign of meningitis, especially when bacterial pathogens are involved. It can range from lethargy and confusion to more severe manifestations like seizures and coma.

Choice D rationale:

Weight loss is not typically associated with meningitis. The condition usually presents with acute symptoms such as fever, headache, and neck stiffness, rather than chronic symptoms like weight loss.

Choice E rationale:

A stiff neck is a hallmark sign of meningitis, particularly in cases of bacterial meningitis. It is caused by the irritation and inflammation of the meninges surrounding the spinal cord.