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: A sudden outbreak of illness with symptoms like rash and fever among a large group of people in a specific location could indicate a bioterrorism event.
Choice B reason: Tuberculosis is a known infectious disease that can occur in places with close living quarters, like correctional facilities, and is not typically associated with bioterrorism.
Choice C reason: Fifth disease is a common viral illness in children and is not considered an indicator of bioterrorism.
Choice D reason: A national increase in pertussis cases is likely related to decreased immunization rates rather than
bioterrorism.
Correct Answer is A
Explanation
Choice A reason: This demonstrates cultural competence by acknowledging and incorporating the client's cultural practices into their care plan.
Choice B reason: This statement does not demonstrate cultural competence but rather a lack of understanding and respect for the client's cultural practices.
Choice C reason: While family members can be helpful, using a professional interpreter is recommended to ensure accurate communication and to maintain confidentiality.
Choice D reason: Advising against the use of herbal teas does not reflect cultural competence. A culturally competent approach would involve discussing the client's beliefs and providing evidence-based guidance.
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