A nurse in an emergency department receives a client who has a temperature of 39.1° C (102.4 F) and a suspected diagnosis of bacterial meningitis. Which of the following actions should the nurse take first?
Prepare the client for a lumbar puncture.
Insert an IV catheter.
Initiate isolation precautions.
Administer an antipyretic to the client.
The Correct Answer is C
Choice A reason: Preparing for a lumbar puncture is important for diagnosis but not the immediate first action for a suspected case of bacterial meningitis.
Choice B reason: Inserting an IV catheter is a preparatory step for treatment but does not address the immediate need to prevent transmission.
Choice C reason: Initiating isolation precautions is the first and most critical action to prevent the spread of infection, as bacterial meningitis can be highly contagious.
Choice D reason: While managing fever is important, it is not the first priority before ensuring the safety of other patients and healthcare workers.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
Choice A reason: Financial instability can be a significant stressor in families and may contribute to an increased risk of child abuse.
Choice B reason: Having a pet, such as an indoor cat, is not a recognized risk factor for child abuse and does not place
the child at an increased risk.
Choice C reason: If one parent appears frightened of the other, it may suggest the presence of domestic violence, which is a known risk factor for child abuse.
Choice D reason: A history of alcohol use disorder in a parent is associated with an increased risk of child abuse, as substance abuse can impair judgment and lead to harmful behaviors.
Choice E reason: Spending time with grandparents, in itself, is not a risk factor for child abuse and does not place the child at an increased risk.
Correct Answer is A
Explanation
Choice A reason: Respite care provides temporary relief for primary caregivers, allowing them a break from the daily routine and stress.
Choice B reason: Hospice care is typically reserved for end-of-life care and not for providing a break to caregivers.
Choice C reason: Rehabilitation care is aimed at helping individuals recover abilities after events like strokes or injuries, not for caregiver exhaustion.
Choice D reason: Palliative care focuses on providing relief from the symptoms and stress of a serious illness, which does not directly address caregiver exhaustion.
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