A 2-year-old child is brought to the emergency room with high fever, irritability, and a rash. The nurse suspects bacterial meningitis. What is the appropriate intervention?

Administer an antipyretic and observe

Perform a lumbar puncture and start antibiotics

Administer an antihistamine and monitor

Order a head CT scan and observe

Answer and Explanation

The Correct Answer is B

A. Administering an antipyretic without further evaluation is not appropriate for a suspected case of bacterial meningitis.

B. Performing a lumbar puncture to analyze cerebrospinal fluid and starting antibiotics is the standard intervention for suspected bacterial meningitis.

C. Administering an antihistamine is not the appropriate intervention for bacterial meningitis, which is a bacterial infection of the meninges.

D. Ordering a head CT scan is not the first-line diagnostic test for suspected bacterial meningitis. A lumbar puncture is the diagnostic procedure of choice.

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Correct Answer is B

Explanation

A. Administering insulin is not appropriate for hypoglycemia; it would further lower blood sugar levels.

B. Administering a high-sugar snack or drink is the appropriate intervention for hypoglycemia to raise blood sugar levels quickly.

C. Administering a pain reliever is not the appropriate intervention for hypoglycemia.

D. Administering a sedative is not the appropriate intervention for hypoglycemia and can mask symptoms.

A. Administering a bronchodilator inhaler B. Administering an antihistamine C. Administering a mucolytic medication D. Administering a cough suppressant

Correct Answer is A

Explanation

A. Administering a bronchodilator inhaler, such as albuterol, is the priority intervention for a child with asthma experiencing difficulty breathing, wheezing, and coughing.

B. Antihistamines are not the primary treatment for acute asthma exacerbations.

C. Mucolytic medications can help thin mucus but are not the first-line treatment for acute asthma symptoms.

D. Cough suppressants are not recommended for children with asthma as they can worsen respiratory distress.

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A 2-year-old child is brought to the emergency room with high fever, irritability, and a rash. The nurse suspects bacterial meningitis. What is the appropriate intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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