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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["37.3"]
Explanation
Order:Zithromax 500 mg p.o. daily
Child’s Weight:82 pounds
Question:What is the child’s weight in kilograms?
Use the conversion formula:
Weight (kg) = Weight (lb) ÷ 2.2
Weight = 82 ÷ 2.2 = 37.27 kg
Rounded to the nearest tenth: 37.3 kg
Final Answer:37.3 kg
Correct Answer is D
Explanation
A. Ambulation is usually delayed until after initial assessment and pain/swelling control.
B. Wrapping the knee may be appropriate but ice application takes priority to reduce swelling and pain.
C. Passive ROM exercises are generally started later, not immediately post-procedure.
D. Applying ice packs helps control inflammation and swelling immediately after arthroscopy.
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