Upon completion of a 14-day antibiotic treatment for bacterial meningitis in an infant, the nurse prepares the family for discharge. Which information should the nurse include?
Explanation & Rationale
A. Administer antipyretic medication on a continuous basis: Continuous administration of antipyretics is unnecessary once the infection has resolved. Fever should be treated symptomatically if it occurs, but routine continuous dosing is not indicated for a recovered infant and could mask signs of potential complications. B. Continue strict monitoring of daily wet diapers for 1 week: Monitoring urine output is important during acute illness or when nephrotoxic medications are being administered. After completing antibiotic therapy for bacterial meningitis and with no ongoing renal concerns, strict monitoring of wet diapers is not routinely required for discharge. C. Have the antibiotic trough level drawn within 3 days: Trough levels are measured during antibiotic therapy to ensure therapeutic levels and prevent toxicity. After completion of a 14-day course, monitoring trough levels is no longer necessary unless there is concern about delayed drug clearance or renal impairment. D. Monitor the infant for response to auditory stimuli: Bacterial meningitis in infants can cause neurological complications, including hearing loss, due to inflammation of the auditory nerves. Families should be instructed to observe for changes in the infant’s response to sound or other developmental delays, enabling early identification and intervention for potential sequelae.