A nurse is planning care for a 6-year-old child who has bacterial meningitis. Which of the following nursing interventions is unnecessary in the client's plan of care?

Measure head circumference every shift

Admit the client to a private room

Place the client in a semi-Fowler's position

Implement seizure precautions

Answer and Explanation

The Correct Answer is A

A. While monitoring for increased intracranial pressure is important, measuring head circumference every shift may not be necessary unless there is a specific indication or change in the child's condition.

B. Admitting the child to a private room is necessary to reduce the risk of spreading the infection to others.

C. Placing the child in a semi-Fowler's position can help reduce intracranial pressure and promote comfort.

D. Implementing seizure precautions is important, as children with bacterial meningitis are at risk for seizures.

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Correct Answer is C

Explanation

A. Cromolyn sodium is a preventive medication for asthma, but it is not typically used at the first sign of breathing difficulty.

B. The peak expiratory flow meter should be used regularly to monitor asthma control, not just once per week.

C. Avoiding triggers that cause an asthma attack is a crucial aspect of asthma management.

Identifying and minimizing exposure to triggers help prevent exacerbations.

D. Exercise is important for overall health, and many individuals with asthma can participate in physical activities, including basketball. The nurse should encourage the child to discuss appropriate physical activities with the healthcare provider.

A. Initiate standard precautions. B. Initiate contact precautions. C. Initiate droplet precautions. D. Initiate airborne precautions.

Correct Answer is C

Explanation

A. Standard precautions are used for all patients and are not specific to the transmission of mumps.

B. Contact precautions are typically used for conditions with skin-to-skin transmission or if the child has draining lesions. Mumps primarily spreads through respiratory droplets.

C. Mumps is transmitted via respiratory droplets, so droplet precautions, including wearing a mask, are appropriate.

D. Airborne precautions are not necessary for mumps. Airborne precautions are reserved for conditions with smaller particle transmission (e.g., tuberculosis).

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A nurse is planning care for a 6-year-old child who has bacterial meningitis. Which of the following nursing interventions is unnecessary in the client's plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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Correct Answer is C

Explanation

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