Certified Pediatric Emergency Nurse (CPEN) Practice Exam 2025 – All-in-One Guide to Master Your Certification!

The initial management approach for a child suspected of having meningitis emphasizes the importance of promptly administering broad-spectrum antibiotics and supporting vital functions. Early intervention is crucial in suspected cases of meningitis due to the potential for rapidly deteriorating neurological conditions, which can lead to serious complications or even death.

Broad-spectrum antibiotics are vital because they provide immediate coverage against the most common bacterial pathogens responsible for meningitis. By starting treatment early, the risk of severe outcomes can be significantly reduced and the chances of a positive recovery outcome improved. Supporting vital functions involves monitoring and managing the child's airway, breathing, and circulation, as these can be compromised in meningitis.

While monitoring vital signs is an essential component of patient care, it should not be the sole focus in a suspected meningitis case — immediate therapeutic actions are necessary. Hydration therapy is also important, but it typically follows the initiation of more critical interventions such as antibiotic administration and supportive measures. Performing a lumbar puncture is an important diagnostic procedure but is often performed after initial stabilization and initiation of treatment, especially if intervention could significantly delay critical care.