A nurse is caring for a preschooler who is the hospital for sickle cell disease. Which of the following should the nurse identify as an expected behavior of a preschool-age-child?

Describing manifestations of the illness.

Relating fears to magical thinking

Awareness of body function.

Understanding cause of illness

Answer and Explanation

The Correct Answer is B

A. Describing manifestations of the illness: Preschoolers lack the cognitive ability to describe symptoms in detail.

B. Relating fears to magical thinking: Magical thinking is characteristic of preschoolers, and they may associate illness with punishment or fantastical causes.

C. Awareness of body function: This is more typical of school-age children, not preschoolers.

D. Understanding cause of illness: Preschoolers do not have the cognitive development to understand illness causation fully.

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Correct Answer is D

Explanation

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.

A. Clear CSF B. Cloudy CSF C. Negative gram stain. D. Decreased glucose content. E. Positive gram stain.

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

Explanation

A. Clear CSF: Clear CSF is typically seen in viral meningitis or normal findings, not bacterial meningitis.

B. Cloudy CSF: Cloudy CSF indicates the presence of infection and is characteristic of bacterial meningitis.

C. Negative gram stain: A negative gram stain indicates the absence of bacterial pathogens, which is not consistent with bacterial meningitis.

D. Decreased glucose content: Bacteria consume glucose, leading to decreased glucose levels in bacterial meningitis.

E. Positive gram stain: A positive gram stain confirms the presence of bacterial organisms in the CSF, supporting a diagnosis of bacterial meningitis.

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A nurse is caring for a preschooler who is the hospital for sickle cell disease. Which of the following should the nurse identify as an expected behavior of a preschool-age-child?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

A nurse is reviewing the cerebral spinal fluid analysis for a group of clients who have suspected meningitis. Which of the following analysis findings would be consistent with a diagnosis of bacterial meningitis? (Select three answers that apply).

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

Explanation

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Which of the following body systems does meningitis affect?

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