A nurse is assessing a client who reports severe headache and a stiff neck. The nurse's assessment reveals positive Kernig's signs. Which of the following actions should the nurse perform first?
Administer Antibiotics
Decrease bright lights
Initiate IV access
Implement droplet precautions
The Correct Answer is D
A. Administering antibiotics is crucial but not the immediate first action.
B. Decreasing bright lights can help with comfort but is not the first priority.
C. Initiating IV access is important for medication administration but not the first action.
D. Implementing droplet precautions is the first action to prevent the spread of potentially contagious bacterial meningitis until the causative organism is identified.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Overproduction of parathormone by the parathyroid gland is related to hyperparathyroidism, not Addison's disease.
B. Lack of insulin production by the pancreas is related to diabetes mellitus, not Addison's disease.
C. Addison's disease is caused by insufficient production of aldosterone and cortisol by the adrenal glands.
D. Overproduction of growth hormone by the pituitary gland is related to conditions like acromegaly, not Addison's disease.
Correct Answer is B
Explanation
A. Good hand hygiene is important for general infection prevention but is not specific to meningitis prevention.
B. Vaccination against meningococcal bacteria is a key preventive measure and a primary example of health promotion for meningitis.
C. Avoiding close contact with infected individuals helps prevent the spread but is more of a preventive action than a health promotion.
D. Drinking plenty of fluids is beneficial for overall health but does not specifically prevent meningitis.
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