. A nurse is caring for a child who has been diagnosed with bacterial meningitis. Which of the following should the nurse monitor in the child? (Select All that Apply.)

Manifestations that could indicate a sepsis infection

Long-term effects that result from a prolonged recovery

Blood pressure that could indicate hypertension

Heart problems that result from cardiac dysfunction

A decrease in body temperature as a sign of bacterial meningitis progression

Answer and Explanation

Correct Answer : A,B,C

A. Manifestations that could indicate a sepsis infection should be monitored closely as bacterial meningitis can lead to septicemia. Signs such as low blood pressure, rapid heart rate, and poor perfusion need immediate attention.

B. Long-term effects that result from a prolonged recovery should be considered. Children recovering from bacterial meningitis may develop complications such as hearing loss, cognitive delays, or motor impairments, requiring long-term follow-up.

C. Blood pressure that could indicate hypertension should be monitored, as increased intracranial pressure (ICP) from meningitis may lead to systemic hypertension, an important parameter to manage during acute illness.

D. Heart problems that result from cardiac dysfunction are not commonly associated with bacterial meningitis itself. However, indirect complications such as septic shock could affect cardiac function, although this is less direct.

E. A decrease in body temperature as a sign of bacterial meningitis progression is incorrect. Hypothermia is not typically a sign of meningitis progression. Fever is a more common manifestation of bacterial meningitis and should be monitored instead.

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Correct Answer is ["B","D","E"]

Explanation

A. Sickled red blood cells are flexible, making it easier for these cells to travel through small vessels is incorrect. Sickled red blood cells are rigid and inflexible, which makes it difficult for them to pass through small blood vessels, contributing to blockages and reduced oxygen delivery.

B. Sickled red blood cells are c-shaped and tend to stick together more easily is correct. Sickled red blood cells have an abnormal, crescent or "C" shape, and they stick together, which can cause clumping and block blood flow in small vessels, leading to pain and organ damage.

C. Sickled red blood cells have a long-life span. Therefore, they circulate in the blood longer than healthy cells is incorrect. Sickled red blood cells have a shortened life span (about 10-20 days) compared to normal red blood cells, which typically last 120 days, leading to a higher rate of cell destruction and anemia.

D. Sickled red blood cells are rigid, making it difficult for the cells to travel through smaller vessels is correct. The rigidity of sickled cells prevents them from easily moving through small blood vessels, causing occlusions, pain, and organ damage.

E. Sickled red blood cells have a short life span which decreases the number of red blood cells circulating in the blood is correct. Due to their short life span, sickled cells are destroyed more quickly, leading to anemia and reduced oxygen-carrying capacity in the blood.

A. Tonic-clonic seizure B. Myoclonic seizure C. Atonic seizure D. Absence seizure

Correct Answer is C

Explanation

A. Tonic-clonic seizure. Tonic-clonic seizures involve both muscle stiffness (tonic phase) and jerking movements (clonic phase), but they are not characterized by a sudden loss of muscle tone.

B. Myoclonic seizure. Myoclonic seizures involve brief, sudden jerks or twitches of a muscle or group of muscles, not the sudden loss of muscle tone.

C. Atonic seizure. Atonic seizures, also known as "drop attacks," are characterized by a sudden loss of muscle tone, which causes the person to collapse or fall to the ground. This is the correct description of the type of seizure being asked about.

D. Absence seizure. Absence seizures involve brief episodes of staring and loss of awareness but do not cause loss of muscle tone or collapsing.

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. A nurse is caring for a child who has been diagnosed with bacterial meningitis. Which of the following should the nurse monitor in the child? (Select All that Apply.)

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Naxlex Comprehensive Predictor Exams

A nurse is providing care to an infant newly diagnosed with sickle cell anemia. The infant's parents ask the nurse to describe what sickled red blood cells are and how they affect blood flow. Which of the following statements should the nurse include in the discussion? (Select All that Apply.)

Correct Answer is ["B","D","E"]

Explanation

Which type of seizure is characterized by a sudden loss of muscle tone, leading to the person collapsing or falling down?

Correct Answer is C

Explanation

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