The 6-month-old infant is admitted to the pediatric intensive care unit with a diffuse purpuric rash and prolonged bleeding. The nurse notes the fingers on the right hand are pale and cool to the touch. Which question asked of the parents will be the most helpful in diagnosing this patient’s condition?

“Did your child come into contact with anyone with meningitis?”. The infant with diffuse purpuric rash, prolonged bleeding, and signs of clots in the microvasculature is showing signs of post-meningococcal purpura fulminans. The most helpful question for the nurse to ask the patient’s parents is if the patient had a meningitis exposure recently. The patient’s symptoms are not consistent with sickle cell crisis, genetic bleeding or clotting disorders, or recent vaccinations.

The 6-month-old infant is admitted to the pediatric intensive car...

Category: Physiological Adaptation
Difficulty: 8

Topics: Hematology/Oncology Neurology Pediatrics Assessment Cardiovascular Communication & Documentation Growth & Development Immunity Infection Inflammation Intracranial Regulation

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