A nurse is caring for a child who has bacterial meningitis.
Which of the following findings should indicate to the nurse that the child can be removed from droplet precautions?
Antibiotics initiated 24 hr ago
Negative Cerebrospinal fluid culture
Absent nuchal rigidity
Temperature below 37.4 C (99.4F)
The Correct Answer is A
The correct answer is A. Antibiotics initiated 24 hr ago.
Explanation:
Children with bacterial meningitis require droplet precautions to prevent the spread of infection. These precautions can typically be discontinued after 24 hours of effective antibiotic therapy, as the risk of transmission significantly decreases.
Why the other options are incorrect:
-
B. Negative cerebrospinal fluid (CSF) culture – While a negative CSF culture confirms the absence of bacteria, cultures may take several days to process. Droplet precautions are usually lifted based on treatment duration, not pending lab results.
-
C. Absent nuchal rigidity – Nuchal rigidity (stiff neck) is a symptom of meningitis, but its resolution does not determine infectious risk.
-
D. Temperature below 37.4°C (99.4°F) – Fever reduction is a sign of improvement but does not indicate that the infection is no longer transmissible.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Unexplained weight gain is not typically associated with Hodgkin’s lymphoma. More common symptoms include unexplained weight loss.
Choice B rationale
Flushed skin is not typically associated with Hodgkin’s lymphoma. More common symptoms include swollen lymph nodes in the neck, armpits, or groin.
Choice C rationale
Decreased body temperature is not typically associated with Hodgkin’s lymphoma. More common symptoms include fever.
Choice D rationale
Night sweats are a common symptom of Hodgkin’s lymphoma.
Correct Answer is A
Explanation
Choice A rationale
A preschool-age child being curious about what happened to the sibling’s body is an age-appropriate response to death. At this age, children often view death as temporary or reversible, and they may be curious about the physical realities of death.
Choice B rationale
A preschool-age child feeling responsible for the sibling’s death is not an age-appropriate response to death. While children at this age may sometimes believe their thoughts or actions can influence events, it’s not typical for them to feel personally responsible for a death.
Choice C rationale
A preschool-age child being able to give a logical explanation for the sibling’s death is not an age-appropriate response to death. Preschoolers typically have a limited understanding of the causes and permanence of death.
Choice D rationale
A preschool-age child viewing the sibling’s death as permanent is not an age-appropriate response to death. Most children in this age group do not understand that death is permanent.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.