A 10-month-old infant with bacterial meningitis was just started on antibiotic therapy. Which nursing action is especially important in this situation?
Administer oral gentamicin
Encourage the child to drink 3.000 mL of fluid per day
Wear a mask while providing care
Flex the child's neck every 4 hours to maintain range of motion
The Correct Answer is C
A. Gentamicin is typically administered intravenously, not orally, for serious infections like meningitis due to poor oral absorption.
B. Encouraging 3,000 mL of fluid is excessive and inappropriate for a 10-month-old, risking fluid overload.
C. Wearing a mask is an essential infection control measure when caring for an infant with bacterial meningitis, especially meningococcal meningitis, which can be highly contagious and transmitted via respiratory droplets.
D. Forcing neck flexion can cause severe pain and is contraindicated in meningitis, where neck stiffness is a hallmark symptom.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. This statement shows appropriate understanding of combining elevation and iceto help reduce swelling.
B. Keeping ice on the knee for the entire dayis inappropriate and potentially harmful. Ice should be applied for 15 to 20 minutes at a time, every 2 to 3 hoursduring the first 24 to 48 hours to prevent tissue damage and frostbite.
C. This reflects accurate understanding of ice’s purpose in reducing inflammation and swelling.
D. This indicates the patient understands the duration of ice therapyas commonly recommended after an acute injury.
Correct Answer is B
Explanation
A. A fracture that has not broken through the skin is called a closed or simple fracture, not a greenstick fracture.
B. A greenstick fracture occurs when the bone bends and cracks but does not break completely, commonly seen in children due to their softer bones.
C. A bone broken into two distinct pieces is a complete fracture.
D. Bone shattered into more than two pieces is called a comminuted fracture.
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