A nurse is providing discharge teaching to a client who has osteomyelitis in their left leg. Which of the following findings should the nurse identify as requiring a referral?

A. Photophobia, or sensitivity to light, is a common symptom of meningitis due to irritation of the meninges and increased intracranial pressure.

B. Bradycardia is not typical of meningitis; instead, tachycardia is more common due to the stress and fever associated with the condition.

C. Headaches in meningitis are usually persistent and severe rather than intermittent.

D. Petechiae, which are small, pinpoint bleeding spots, are more indicative of bacterial infections like meningococcal meningitis but are not a universal finding in all cases of meningitis.

A. Using a communication board with colored pictures might not effectively facilitate communication for someone who primarily uses sign language.

B. Requesting an interpreter during the initial assessment ensures effective communication between the nurse and the client.

C. Familiarizing themselves with commonly used signed language may help the nurse in the long term but may not be feasible or effective during the immediate admission process.

D. Asking a family member to be present during the admission may help but may not provide the necessary communication support for effective assessment and care.