A nurse is assisting with the development of an inservice about viral and bacterial meningitis. The nurse should include that the introduction of which of the following immunizations decreased the incidence of bacterial meningitis?

Haemophilus Influenza Type B (HIB) Vaccine and TDAP

Inactivated polio vaccine (IPV) and Pneumococcal Conjugate Vaccine (PCV)

DTAP and Varicella Vaccine

Pneumococcal Conjugate Vaccine (PCV) and Haemophilus Type B (HIB Vaccine)

Answer and Explanation

The Correct Answer is D

A. Haemophilus Influenza Type B (HIB) Vaccine and TDAP. HIB vaccine reduces the incidence of meningitis caused by Haemophilus influenzae, but TDAP does not target pathogens responsible for meningitis.

B. Inactivated polio vaccine (IPV) and Pneumococcal Conjugate Vaccine (PCV). IPV prevents polio but has no impact on meningitis incidence. PCV is correct for preventing Streptococcus pneumoniae meningitis.

C. DTAP and Varicella Vaccine. DTAP does not prevent bacterial meningitis, and varicella vaccine prevents chickenpox, not meningitis.

D. Pneumococcal Conjugate Vaccine (PCV) and Haemophilus Type B (HIB Vaccine). These vaccines directly prevent bacterial meningitis caused by Streptococcus pneumoniae and Haemophilus influenzae, which were previously leading causes of meningitis in children.

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Correct Answer is D

Explanation

A. Decreased pressure and cloudy cerebrospinal fluid with a high protein level. Meningitis usually causes increased intracranial pressure, not decreased.

B. Clear cerebrospinal fluid with a high protein and low glucose. Clear CSF is typically seen in viral meningitis, but bacterial meningitis more often causes cloudy CSF.

C. Cloudy cerebrospinal fluid with a low protein and low glucose. While glucose is low in bacterial meningitis, protein is typically elevated due to the infection.

D. Cloudy cerebrospinal fluid with a high protein and low glucose levels. This finding is consistent with bacterial meningitis, where the CSF is cloudy, protein is elevated due to inflammation, and glucose is low because bacteria consume glucose.

A. Febrile episode B. Low Blood lead levels C. Sodium imbalance D. Presence of diphtheria E. Hypoglycemia

Correct Answer is ["A","C","E"]

Explanation

A. Febrile episode: Fever is a common trigger for febrile seizures in children, especially between 6 months and 5 years.

B. Low blood lead levels: Elevated, not low, blood lead levels can increase the risk of seizures due to neurotoxicity.

C. Sodium imbalance: Both hyponatremia and hypernatremia can cause seizures by disrupting neuronal function.

D. Presence of diphtheria: Diphtheria does not directly increase the risk of seizures. Neurological complications are rare and secondary.

E. Hypoglycemia: Low blood sugar levels deprive the brain of energy, which can lead to seizures.

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A nurse is assisting with the development of an inservice about viral and bacterial meningitis. The nurse should include that the introduction of which of the following immunizations decreased the incidence of bacterial meningitis?

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Naxlex Comprehensive Predictor Exams

A nurse is taking care of a child with a possible diagnosis of meningitis. The nurse knows to look for which laboratory results to verify the diagnosis?

Correct Answer is D

Explanation

A nurse is reinforcing with a group of caregivers about the risk factors for seizures. Which of the following factors should the nurse include in her teaching? (Select 3 that apply)

Correct Answer is ["A","C","E"]

Explanation

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A nurse is assisting with the development of an inservice about viral and bacterial meningitis. The nurse should include that the introduction of which of the following immunizations decreased the incidence of bacterial meningitis?

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