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    Ati rn paediatrics nursing 2023 proctored exam
    Select All That Apply

    Exhibits Which of the following complications should the nurse identify as being potential risks for this child? Select all that apply.

    Explanation & Rationale

    Rationale for Correct Answers: Hydrocephalus: Inflammation of the meninges can block cerebrospinal fluid (CSF) flow, leading to ventricular dilation and hydrocephalus, a known complication of bacterial meningitis. Seizures: Meningeal irritation and increased intracranial pressure can cause seizures. Children with altered mental status and fever are at heightened risk. Subdural effusions: These may develop due to inflammation and accumulation of fluid between the dura and arachnoid layers, often seen in pediatric meningitis cases. Hearing loss: Sensorineural hearing loss may result from inflammation or damage to the auditory nerve or cochlea. It’s a well-documented sequela of meningitis. Rationale for Incorrect Choices: Laryngospasm: Typically associated with airway irritation or hypocalcemia, not a common or expected complication of meningitis. Demyelination: More commonly linked to conditions like multiple sclerosis. Meningitis does not typically cause demyelination of neurons. Guillain-Barré syndrome: An autoimmune condition often triggered by viral illness, not by meningitis. It involves peripheral nervous system demyelination, unrelated to this case.

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