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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

Projectile vomiting is a hallmark symptom of pyloric stenosis. It occurs due to the obstruction at the pylorus, causing forceful expulsion of stomach contents. This symptom typically appears in infants between 3 to 6 weeks of age.

Choice B rationale

A rigid abdomen is not a typical symptom of pyloric stenosis. It may indicate other abdominal issues, such as peritonitis or bowel obstruction.

Choice C rationale

Red currant jelly stools are associated with intussusception, not pyloric stenosis. Intussusception involves the telescoping of one part of the intestine into another, leading to bowel obstruction and characteristic stool appearance.

Choice D rationale

Distended neck veins are not related to pyloric stenosis. This symptom is more commonly associated with cardiac conditions or severe respiratory distress.

Correct Answer is D

Explanation

Choice A rationale

At 10 months, infants are typically able to imitate simple sounds, including animal sounds. This is a normal developmental milestone.

Choice B rationale

Turning pages in a book is a fine motor skill that develops later, around 12 months of age.

Choice C rationale

Building a tower of three or four cubes is a skill that typically develops around 15-18 months of age.

Choice D rationale

By 10 months, infants should be able to sit steadily without support. Inability to do so may indicate a developmental delay.

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