A nurse is planning care for a client who has bacterial meningitis. Which of the following interventions should the nurse implement?

Ensure the client's bed is positioned to greater than 45°.

Initiate airborne precautions.

Ensure lights are dimmed in the client's room.

Encourage frequent ambulation.

Answer and Explanation

The Correct Answer is C

A.   The head of the bed should be elevated to 30 degrees to reduce intracranial pressure.
B.   Bacterial meningitis is transmitted through hematogenous route and airborne precautions are not always necessary.
C.   Clients with meningitis may be sensitive to light, dimming the lights should be implemented to increase comfort by reducing stimuli.
D.   Encourage frequent ambulation is not appropriate for bacterial

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Correct Answer is A

Explanation

A. Strawberries aretypically associated with cross-reactivity with latex
B. Eggs are not commonly associated with cross-reactivity with latex.
C. Peanuts are not typically associated with cross-reactivity with latex. Peanut allergy involves specific proteins found in peanuts and is unrelated to latex allergy.

D Shellfish is not associated with cross-sensitivity with latex

A. Suction the client's airway. B. Empty water from the client's ventilator tubing. C. Increase the client's ventilator flow rate. D. Evaluate the client for a cuff leak.

Correct Answer is D

Explanation

D. Evaluate the client for a cuff leak is the most appropriate action in response to a low-pressure alarm on the ventilator. A cuff leak can cause a drop in ventilator pressure, triggering the alarm. Assessing the client's cuff for leaks and addressing any identified issues can help resolve the alarm and ensure adequate ventilation.
A. Suctioning the client's airway is not the appropriate action in response to a low-pressure alarm on the ventilator.
B. Emptying water from the client's ventilator tubing could be a valid action to take if there is excess condensation or water buildup in the ventilator tubing causing the low-pressure alarm. However, it's not the first action to consider, as other causes should be ruled out first.
C. Increasing the ventilator flow rate may help maintain adequate pressure in the ventilator circuit and address the low-pressure alarm if the cause is related to insufficient airflow. However, adjusting the flow rate should be done cautiously and based on the client's respiratory status and ventilator settings.

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A nurse is planning care for a client who has bacterial meningitis. Which of the following interventions should the nurse implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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