A patient with weakened immunity presents with chronic meningitis. Which type of meningitis is more likely in this case?

Viral meningitis.

Bacterial meningitis.

Fungal meningitis.

Parasitic meningitis.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Viral meningitis is less likely in this case because the patient has weakened immunity, suggesting a chronic and severe condition. Viral meningitis is often self-limiting and less severe in immunocompetent individuals.

Choice B rationale:

Bacterial meningitis is less likely in this case as well, as chronic meningitis usually has a slower onset, and bacterial meningitis tends to have a more acute and rapidly progressive course.

Choice C rationale:

Fungal meningitis is more likely in a patient with weakened immunity, as certain fungal pathogens, such as Cryptococcus and Histoplasma, can cause chronic and persistent meningitis in immunocompromised individuals.

Choice D rationale:

Parasitic meningitis is not a common form of meningitis and is usually associated with specific parasitic infections, which are less likely to occur in immunocompromised patients.

Choice E rationale:

Tuberculous meningitis is a type of bacterial meningitis caused by Mycobacterium tuberculosis. While it can occur in immunocompromised individuals, fungal meningitis is more prevalent in this population.

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Correct Answer is D

Explanation

Choice A rationale:

Nuchal rigidity (stiff neck) is a classic symptom of meningitis, but it is not particularly concerning in older adults as it is in younger individuals. Older adults may have a less pronounced neck stiffness due to age-related changes.

Choice B rationale:

Rash can be a symptom of certain types of meningitis, such as meningococcal meningitis, but it is not specific to older adults. Moreover, older adults may not exhibit a rash even in cases of meningococcal meningitis.

Choice C rationale:

Irritability is a vague symptom and may not be specific to meningitis in older adults. It can be caused by various factors and does not raise significant concern for meningitis.

Choice D rationale:

Altered mental status, such as confusion, delirium, or decreased level of consciousness, is particularly concerning in older adults with suspected meningitis. Older adults may not always present with classic symptoms like neck stiffness, and altered mental status may be the primary indicator of central nervous system involvement.

Choice E rationale:

Photophobia is a common symptom of meningitis, but it is not specific to older adults. It may be present in both younger and older patients with meningitis.

A. "This type of meningitis is mainly seen in infants.” B. "It occurs primarily in regions with contaminated water.” C. "It can cause death within hours if left untreated.” D. "Fungal meningitis has a higher mortality rate than this type.”

Correct Answer is C

Explanation

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.

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A patient with weakened immunity presents with chronic meningitis. Which type of meningitis is more likely in this case?

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

A nurse is providing education on meningococcal meningitis prevention. Which statement by the nurse is accurate?

Correct Answer is C

Explanation

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

A nurse is caring for a 3-year-old child admitted with suspected meningitis. Which of the following signs would the nurse expect to assess in this patient if bacterial meningitis is the cause?

A client is planning a trip to a tropical region in winter. Which type of meningitis is more common in such regions during this season?

A nurse is educating a group of parents about meningitis and its transmission. Which of the following statements by the nurse is accurate regarding the transmission of viral meningitis?

A nurse is assessing a group of patients in a temperate region during summer. Which type of meningitis is more likely to be prevalent in this population?

A nurse is caring for a patient with suspected meningitis. Which diagnostic procedure should the nurse expect to be performed to confirm the diagnosis?

(Select all that apply): A nurse is providing care for a client with meningitis. What are the appropriate nursing interventions for this client? (Select all that apply)

(Select all that apply): A nurse is caring for a client with fungal meningitis. Which antifungal drugs may be used to treat this condition? (Select all that apply)