What assessment finding in a child might suggest meningitis?

The presence of a stiff neck and fever in a child is indicative of meningitis, a serious infection that affects the protective membranes surrounding the brain and spinal cord. A stiff neck often occurs due to irritation of the meninges, which can lead to neck rigidity and discomfort when attempting to flex the neck forward. Fever is a common systemic response to infection, and when combined with neck stiffness, it creates a classic triad of symptoms associated with meningitis, which also includes altered mental status and photophobia.

While a headache and nausea could be associated with various conditions, they are not specific enough to suggest meningitis on their own. A rash and hives typically point towards an allergic reaction or conditions like viral exanthems, which are not directly related to meningitis. Similarly, symptoms like wheezing and coughing are more indicative of respiratory issues rather than neurological infections. Therefore, stiff neck and fever clearly stand out as key assessment findings that warrant further investigation for meningitis.