Which statement reflects appropriate preparedness for airway management in a patient with suspected meningitis?

• A. Be prepared to assist with endotracheal intubation if the patient's condition worsens
• B. Only use oxygen via mask; do not intubate
• C. Perform emergency craniotomy
• D. Do nothing until stabilization

Answer: (A)

Airway protection is essential in suspected meningitis because the infection can cause rapid changes in consciousness, a loss of protective airway reflexes, seizures, and vomiting, all of which increase the risk of airway obstruction and aspiration. Being prepared to assist with endotracheal intubation if the patient’s condition worsens allows quick securing of the airway to maintain ventilation and prevent hypoxia. Simply giving oxygen via mask may not be enough when the patient’s mental status declines or respiratory drive is compromised. An emergency craniotomy is not a treatment for meningitis itself, and doing nothing until stabilization ignores the possibility of rapid deterioration that could threaten the airway.