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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Reluctance to learn new care techniques can be a sign of role strain, as it may indicate feeling overwhelmed or resistant to change.
Choice B reason: Joining a support group is typically a positive step and not indicative of role strain.
Choice C reason: Developing new interests, such as knitting, is usually a healthy coping mechanism and not a sign of role strain.
Choice D reason: Accepting help is a positive action and suggests the caregiver is managing their role effectively, rather than experiencing strain.
Correct Answer is D
Explanation
Choice A reason: Developing objectives is important but should be based on the needs and knowledge gaps identified through community data.
Choice B reason: Involving community leaders is a crucial step, but it should be informed by an understanding of the community's specific needs and preferences.
Choice C reason: Researching the literature is necessary to ensure evidence-based practice, but it should be tailored to address the specific issues identified in the community.
Choice D reason: Gathering data from the community is the first step in understanding the prevalence of STIs, risk factors, and the level of knowledge among adolescents, which will inform all other steps in the program development.
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