If a child has fever and opisthotonos, the nurse should:

• A. Refer the child for immediate medical evaluation
• B. Administer an antipyretic and observe at home
• C. Provide fluids and send home
• D. Schedule a routine check-up in a week

Answer: (A)

Fever with opisthotonos signals a possible meningitis or another serious brain infection. Opisthotonos, the extreme back-arching posture, happens when the meninges are irritated and is a neurologic emergency in a child. Because meningitis can progress quickly and has serious consequences, the child needs immediate medical evaluation—usually urgent assessment in an emergency department or by an urgent care team.

Giving a fever-reducing medicine or sending the child home with fluids does not address the potential life-threatening cause behind the symptoms. A routine check-up days later could miss a rapidly worsening condition. The key is recognizing that this combination elevates risk and requires prompt professional evaluation to confirm diagnosis and start treatment if needed.