HESI RN Med surg proctored exam 2
A client presents with the onset of a severe headache, fever, nuchal rigidity, and a petechial rash on arms and legs. The nurse recognizes the client is exhibiting symptoms of which condition?a) Intracerebral hemorrhage.b) Meningococcal meningitis.c) Rocky Mountain spotted fever.d) Cerebrovascular accident (CV
Explanation & Rationale
Choice A reason: An intracerebral hemorrhage may cause a severe headache but not usually a petechial rash or nuchal rigidity.Choice B reason:The correct answer is b) because the combination of severe headache, fever, nuchal rigidity, and petechial rash is characteristic of meningococcal meningitis, a serious infection requiring immediate medical attention.Choice C reason: Rocky Mountain spotted fever can cause a rash and fever but is less likely to cause nuchal rigidity.Choice D reason: A cerebrovascular accident (CVA) can cause a severe headache but not typically a petechial rash or nuchal rigidity.
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