Question

A patient with a ventriculostomy for increased intracranial pressure (ICP) monitoring is exhibiting nuchal rigidity and photophobia. The nurse would be correct in suspecting which of the following complications?

Answer 1

Suspicion of meningitis is warranted in a patient with a ventriculostomy when exhibiting symptoms such as nuchal rigidity and photophobia. Meningitis is an inflammation of the meninges and can raise intracranial pressure, requiring prompt medical attention.

Step-by-step explanation:

A patient with a ventriculostomy who exhibits nuchal rigidity (stiff neck) and photophobia (sensitivity to light) may raise a suspicion of a meningitis complication. Meningitis is an inflammation of the meninges, which are the protective layers surrounding the brain and spinal cord. This condition can lead to increased intracranial pressure and is typically associated with symptoms such as severe headache, fever, photophobia, and a stiff neck.

Any ventricular procedure, such as a ventriculostomy, may potentially lead to meningitis due to the introduction of pathogens into the cerebrospinal fluid (CSF). Therefore, the nurse would be correct in considering meningitis as a potential complication, and it may require prompt medical evaluation and treatment to prevent further severe complications like seizures, cerebral edema, and possibly even death.