. 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

Explanation

A. Ribs are not a typical location for rhabdomyosarcoma, which primarily affects soft tissue. While it can occur in any area of the body, tumors most commonly develop in the muscles, such as in the upper leg.

B. Upper leg is the most common site of rhabdomyosarcoma in children. This cancer originates in the soft tissues, particularly skeletal muscles.

C. Head is a less common site for rhabdomyosarcoma, although it can occur in the head or neck region. However, the upper leg is more frequently affected.

D. Spine is not a typical location for rhabdomyosarcoma. While other sarcomas can affect bones and tissues of the spine, rhabdomyosarcoma generally affects soft tissues like muscles and tendons.

A. An elevated red blood cell count B. A decreased white cell count C. An elevated white blood cell count D. A normal glucose

Correct Answer is C

Explanation

A. An elevated red blood cell count is not a typical finding in bacterial meningitis. An increase in red blood cells in cerebrospinal fluid (CSF) is more indicative of a traumatic lumbar puncture or hemorrhage.

B. A decreased white cell count would not be expected in bacterial meningitis. Bacterial infections typically lead to an increase in white blood cell count as part of the immune response to fight the infection.

C. An elevated white blood cell count is a hallmark of bacterial meningitis. This finding indicates an immune response in the CSF to the presence of bacteria. The cells are primarily neutrophils in bacterial infections.

D. A normal glucose level is not expected in bacterial meningitis. Glucose is typically decreased due to the consumption of glucose by bacteria and white blood cells in the CSF.

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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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a pediatric client who is exhibiting manifestations of rhabdomyosarcoma. In which area of the body should the nurse expect to find a tumor?

Correct Answer is B

Explanation

A lumbar puncture is done on an infant suspected to have meningitis. If the infant has bacterial meningitis, the nurse would expect the cerebral spinal fluid to show what result?

Correct Answer is C

Explanation

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