(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)

Choice A rationale:

If the cerebrospinal fluid (CSF) were normal, it would have clear and colorless appearance. Pink-colored CSF indicates the presence of an abnormality, ruling out the normal CSF as an option.

Choice B rationale:

The pink color of the CSF suggests blood contamination, which can occur during the lumbar puncture procedure. The presence of blood can alter the CSF composition and lead to false interpretations of laboratory results.

Choice C rationale:

Bacterial infection may present with cloudy or purulent CSF, but it is not specifically associated with pink-colored CSF. Other signs, such as elevated white blood cell count and elevated protein levels, would be more indicative of a bacterial infection.

Choice D rationale:

Dehydration does not typically cause pink-colored CSF. Dehydration may lead to a higher concentration of solutes in the CSF, but it does not affect its coloration.

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.