A 3-Year-Old Kid Is Sent to the Emergency Room with a Fever

A 3-year-old kid is sent to the emergency room with a fever and stiff neck. The youngster is admitted to the hospital with bacterial meningitis and begins therapy with intravenous antibiotics. On the second day of hospitalization, the mother asks to take the kid home and tells that she plans to cure him with homeopathic medicines. She also has four more children who have "never required immunizations or drugs" and are "strong and healthy." The doctor describes the dangers of meningitis, which include brain damage and death. After a lengthy conversation, the mother states that she recognizes the dangers but feels that homeopathic medications would enough for therapy and is not persuaded that hospitalization is necessary. Which of the following is the most appropriate course of action?

A) Arrange for a psychiatric evaluation to assess the mother's decision-making capacity
B) Arrange for a visiting nurse to administer intravenous antibiotics at home
C) Contact child protective services while continuing intravenous antibiotics
D) Discharge against medical advice with instructions to return if the child's condition deteriorates
E) Discharge the patient on oral antibiotics with daily in-home check ups

Correct Answer:

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