A 6-year-old child is admitted to the hospital with suspected bacterial meningitis. What is the nursing priority in the care of this child? Select all that apply.

Ensure the child is placed on droplet precautions.

Encouraging the child to drink plenty of fluids.

Administering intravenous antibiotics as prescribed.

Providing comfort measures such as dimming the lights.

Prepare the child for a CT scan of the head.

Answer and Explanation

Correct Answer : A,C,D

A. Ensure the child is placed on droplet precautions is the priority because bacterial meningitis is highly contagious. Droplet precautions help prevent the spread of the infection to others in the hospital.

B. Encouraging the child to drink plenty of fluids is not the priority in the acute phase of meningitis, as increased fluid intake may not be appropriate, especially if there is elevated intracranial pressure or vomiting. Fluid management should be carefully monitored by the healthcare team.

C. Administering intravenous antibiotics is crucial because bacterial meningitis requires prompt treatment with antibiotics to prevent complications and reduce mortality.

D. Providing comfort measures such as dimming the lights is important because the child may be sensitive to light, noise, and stimuli. A calm, quiet environment can help reduce discomfort and manage symptoms like headache and photophobia.

E. Preparing the child for a CT scan of the head might be indicated if there are signs of increased intracranial pressure, but it is not the immediate priority. Initial treatment with antibiotics and managing the environment are higher priorities.

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Correct Answer is B

Explanation

A. Hematuria (blood in the urine) can occur in some conditions, but it is not a primary complication of hemophilia. Hemophilia more commonly leads to bleeding into joints and muscles rather than the urinary tract.

B. Hemarthrosis (bleeding into the joints) is a common complication of hemophilia. It occurs due to the lack of clotting factors, which prevents normal blood clotting and allows bleeding into joints, causing pain, swelling, and long-term joint damage.

C. Hemoptysis (coughing up blood) is not a typical complication of hemophilia, though it can occur in various respiratory conditions, such as infections or lung issues.

D. Hematemesis (vomiting blood) is a serious condition but is not commonly associated with hemophilia. Hemophilia's major complications are related to joint and muscle bleeding.

A. Keep the infant supine. B. Suction the mouth with an oral suction tube. C. Apply elbow restraints and release them periodically. D. Feed the infant with a spoon for 48 hours.

Correct Answer is C

Explanation

A. Keep the infant supine is incorrect. After cleft palate repair, it is generally recommended to keep the infant in a position that minimizes pressure on the surgical site. Keeping the infant in a supine position may cause pressure on the repaired area, so side or semi-prone positioning is preferred.

B. Suction the mouth with an oral suction tube is incorrect. Suctioning should be avoided unless absolutely necessary because it can irritate the surgical site and cause trauma to the newly repaired palate.

C. Apply elbow restraints and release them periodically is correct. Elbow restraints are commonly used after cleft palate surgery to prevent the infant from touching or putting pressure on the surgical site. These restraints should be periodically released to allow for movement and prevent skin breakdown.

D. Feed the infant with a spoon for 48 hours is incorrect. After cleft palate repair, feeding should be done carefully. Special feeding bottles or cups are typically used to avoid trauma to the surgical site. Feeding with a spoon may cause pressure on the repair and should be avoided.

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A 6-year-old child is admitted to the hospital with suspected bacterial meningitis. What is the nursing priority in the care of this child? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is a complication of hemophilia?

Correct Answer is B

Explanation

A nurse is caring for a 10-month-old infant who is 8 hours postoperative following cleft palate repair. Which of the following interventions should the nurse include in the infant's plan of care?

Correct Answer is C

Explanation

A nurse manager is preparing to discuss methods to help staff who care for terminally ill children cope with the stress of caring for their patients and families. Which of the following information should the nurse plan to include in the discussion? (Select All that Apply.)

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