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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 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.

Correct Answer is ["B","C","D"]

Explanation

Choice A rationale

Restraining the client during a seizure is not recommended as it can cause injury. The focus should be on ensuring the client’s safety and preventing harm.

Choice B rationale

Assessing the client’s airway patency is crucial during a seizure to ensure that the client is breathing properly and that the airway is not obstructed.

Choice C rationale

Removing objects from the client’s bed helps prevent injury during a seizure. Objects in the bed can pose a risk of harm if the client hits them during the seizure.

Choice D rationale

Placing the client in a side-lying position helps maintain an open airway and reduces the risk of aspiration. This position allows any secretions to drain out of the mouth, preventing choking.

Choice E rationale

Placing a tongue depressor in the client’s mouth is not recommended and can cause injury. It is a common misconception that this prevents the client from swallowing their tongue, but it can actually cause more harm.

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