A child weighing 75 lbs. (34.1 kg) is admitted to the unit with a diagnosis of bacterial meningitis. The child has been started on an IV of D5 NS at 100 mL per hour and IV antibiotic therapy has been initiated.

Which assessment finding would need to be reported immediately to the healthcare provider? Select all that apply.

1. Urinary output of 28 mL/hr.
2. Change in the level of consciousness.
3. Temperature of 101.2 degrees F (38.4 degrees C).
4. Increase of 5 mm Hg in systolic BP from baseline.
5. Sodium level of 130 mEq/L (130 mmol/L).

For a child diagnosed with bacterial meningitis, immediate report to a healthcare provider is needed if there is a 2) change in consciousness or 3) a temperature of 101.2 degrees F (38.4 degrees C). Hence, 2) and 3) are correct.

The question involves the care of a child diagnosed with bacterial meningitis. In this case, immediate reporting to a healthcare provider is warrantied for the following assessment findings: Change in the level of consciousness and Temperature of 101.2 degrees F (38.4 degrees C).

These two findings indicate worsening of the child's condition. A change in the level of consciousness could suggest rising intracranial pressure or the child becoming septic, while a high temperature is indicative of uncontrolled infection.

The other three findings (Urinary output of 28 mL/hr, Increase of 5 mm Hg in systolic BP from baseline, Sodium level of 130 mEq/L (130 mmol/L)) are not immediately alarming for a kid of this age and weight. Still, they all should be monitored and trended rigorously, communicating any drastic changes to the healthcare provider.

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