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Case Study: Meningitis Difficulty: Intermediate Setting: Emergency department, hospital Scenario J.H. is a 5-week-old infant brought to the emergency department (ED) by his mother, who speaks little English. Her husband is at work. She is young and appears frightened and anxious. Through a translator, Mrs. H. reports that J.H. has not been eating, sleeps all of the time, and is “not normal.” 1. What are some of the obstacles you need to consider, recognizing that Mrs. H. does not speak or understand English well? 2. You perform your primary assessment and question Mrs. H. with a translator. Which of these findings are abnormal and need to be reported? Select all that apply and state rationale. a. Anterior fontanel palpable and tense b. Pupils equal and +3 c. Temperature 96.8 ° F (36 ° C) rectally d. Heart rate: 85 beats/min e. Positive Babinski reflex f. High-pitched cry g. Refusal of PO intake per mother
3. What part of the patient’s body is used to assess the Babinski reflex? Case Study Progres

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