A nurse is admitting a client who has meningococcal meningitis. Which of the following actions should the nurse take first?
Administer antibiotic therapy to the client.
Provide the client with analgesics as needed.
Initiate droplet precautions for the client.
Educate the client about the meningococcal vaccine
The Correct Answer is C
A. Administer antibiotic therapy to the client. This is a priority intervention, but it is not the first action. Before administration, infection control measures should be in place.
B. Provide the client with analgesics as needed. Pain management is important but is not the first priority. The spread of infection must be controlled immediately.
C. Initiate droplet precautions for the client. Meningococcal meningitis is highly contagious. Droplet precautions (mask, private room) must be initiated immediately to prevent transmission before other interventions.
D. Educate the client about the meningococcal vaccine. Vaccination is a preventive measure but does not address the immediate risk of infection spread.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Provide the client with a referral to a support group. Not the first priority; occurs later in the grieving process.
B. Encourage the client to view the body of their partner. Only appropriate if the client wants to do so.
C. Reinforce the need for the client to build new relationships. Insensitive and premature during initial grief.
D. Encourage the client to share their thoughts and feelings. Therapeutic communication is the first step in grief support, allowing the client to process emotions.
Correct Answer is B
Explanation
A. Dryness – Infiltration leads to swelling and fluid accumulation, not dryness.
B. Edema – Infiltration occurs when IV fluids leak into surrounding tissue, causing swelling (edema).
C. Erythema – While redness (erythema) can indicate phlebitis, it is not a primary sign of infiltration.
D. A distended vein – A distended vein is more likely seen with fluid overload or thrombosis, not infiltration.
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