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A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis. Which of the following actions is the nurse’s priority?

A.

Obtain blood cultures.

B.

Administer an intravenous antibiotic.

C.

Prepare the child for a lumbar puncture.

D.

Place the child in isolation.

Answer and Explanation

The Correct Answer is B


Choice A rationale

 

Obtaining blood cultures is important for identifying the causative organism, but it should be done immediately before or concurrently with the administration of antibiotics.

 

Choice B rationale

 

Administering an intravenous antibiotic is the priority action for a child with suspected bacterial meningitis. Early administration of antibiotics is crucial to treat the infection and prevent complications such as brain swelling and seizures.

 

Choice C rationale

 

Preparing the child for a lumbar puncture is necessary for diagnosing meningitis, but it should not delay the administration of antibiotics.

 

Choice D rationale

 

Placing the child in isolation is important to prevent the spread of infection, but it is not the immediate priority over administering antibiotics.


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View Related questions

Correct Answer is A

Explanation

Choice A rationale

Rheumatic fever is often preceded by a streptococcal infection, such as strep throat. A sibling with a sore throat 3 weeks ago could have had a strep infection, which is a significant risk factor for developing rheumatic fever.

Choice B rationale

Chickenpox is caused by the varicella-zoster virus and is not related to rheumatic fever, which is a complication of streptococcal infections.

Choice C rationale

Gastritis is an inflammation of the stomach lining and is not associated with rheumatic fever.

Choice D rationale

Fifth disease is caused by parvovirus B19 and is not related to rheumatic fever.

Correct Answer is B

Explanation

Choice A rationale

Droplet precautions are used for infections spread through large respiratory droplets, such as influenza, but are not sufficient for measles.

Choice B rationale

Airborne precautions are necessary for measles, as it is spread through small droplets that can remain suspended in the air and travel over long distances.

Choice C rationale

Contact precautions are used for infections spread through direct contact with the patient or their environment, such as MRSA, but are not sufficient for measles.

Choice D rationale

A protective environment is used for patients with compromised immune systems to protect them from infections, not for preventing the spread of infections like measles.

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