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 an antipyretic is not appropriate for anaphylaxis, a severe allergic reaction that requires immediate intervention.

B. Administering epinephrine is the first-line treatment for anaphylaxis. After administering epinephrine, calling for emergency medical assistance is crucial.

C. Offering a cold drink is not the appropriate intervention for anaphylaxis and will not address the life-threatening symptoms.

D. Providing a heating pad is not relevant to the situation and will not address the symptoms of anaphylaxis.

A. Applying a tourniquet above the wound B. Applying direct pressure and elevating the arm C. Cleaning the wound with alcohol D. Administering an oral pain reliever

Correct Answer is B

Explanation

A. Applying a tourniquet is not the initial action for controlling bleeding. Direct pressure and elevation are more appropriate.

B. Applying direct pressure and elevating the arm above the level of the heart help control bleeding from the wound.

C. Cleaning the wound with alcohol can wait until after bleeding is controlled. Direct pressure and elevation are the immediate priorities.

D. Administering an oral pain reliever is not the immediate concern; controlling bleeding and preventing infection are the priorities.

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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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