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 B

Explanation

B. Triiodothyronine (T3) is one of the thyroid hormones, and in Graves' disease, there is excessive production of thyroid hormones, including T3. Therefore, T3 levels are often elevated in individuals with Graves' disease due to the hyperthyroid state.
A. Phosphorus levels are typically not significantly affected by Graves' disease.
C. In Graves' disease, there is typically suppression of TSH secretion due to the negative feedback from elevated levels of thyroid hormones. Therefore, TSH levels are typically decreased (low) in individuals with Graves' disease.
D. Calcium levels are typically not directly affected by Graves' disease.

A. Increase the rate of infusion if administration is delayed. B. Monitor serum blood glucose during infusion. C. Verify the solution with another RN prior to infusion. D. Infuse 0.9% sodium chloride if the solution is not available. E. Obtain the client's weight daily.

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

Explanation

B. Monitoring serum blood glucose during infusion is important because TPN can contain glucose, which may affect the client's blood glucose levels. Regular monitoring helps ensure glycemic control and prevents complications such as hyperglycemia.
C. Double-checking the TPN solution with another RN is a crucial safety measure to prevent medication errors and ensure that the correct solution is administered to the client.
E. Monitoring the client's weight daily is important for assessing fluid balance and adjusting the TPN infusion rate accordingly. Changes in weight can indicate fluid retention or loss, which may require adjustments to the TPN prescription.
A. TPN solutions must be administered according to the prescribed rate and schedule. Increasing the infusion rate without medical orders could lead to complications such as hyperglycemia or fluid overload.
D. TPN solutions are specifically formulated to meet the client's nutritional needs and cannot be substituted with other intravenous solutions like 0.9% sodium chloride.

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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?

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Naxlex Comprehensive Predictor Exams

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