A nurse is preparing to admit a client who has bacterial meningitis. Which of the following items should the
nurse place in the client's room?
Oral irrigating device
Seizure pads
Sterile gloves
Tongue blade
The Correct Answer is B
b. Seizure pads
Explanation:
The nurse should place seizure pads in the client's room when admitting a client with bacterial meningitis. Bacterial meningitis is an infection that affects the meninges, the protective membranes covering the brain and spinal cord. It can cause inflammation and swelling of the brain, leading to an increased risk of seizures.
Seizure pads are specifically designed to provide a cushioning and protective barrier between the client's head and the hard surface, reducing the risk of injury during a seizure. They are placed on the bed or matress to help prevent head trauma or other injuries that may occur if a seizure occurs.
Now, let's discuss why the other options are not necessary for the client with bacterial meningitis:
a. Oral irrigating device:
An oral irrigating device is not necessary for a client with bacterial meningitis. Bacterial meningitis primarily affects the central nervous system and does not require oral care interventions. The focus of care for these clients is on managing the infection, monitoring vital signs, and providing supportive care.
c. Sterile gloves:
While sterile gloves are commonly used in healthcare settings, they are not specifically required for the care of a client with bacterial meningitis. Standard precautions, including the use of non-sterile gloves, are sufficient for providing care to these clients. Sterile gloves are typically used for invasive procedures or when there is a need to maintain a sterile field.
d. Tongue blade:
A tongue blade is not necessary for the care of a client with bacterial meningitis. Tongue blades are typically used for oral assessments or when examining the throat, which are not directly related to the management or treatment of bacterial meningitis. The focus of care for these clients is on infection control, monitoring for complications, and providing comfort and support.
In summary, when admitting a client with bacterial meningitis, the nurse should prioritize placing seizure pads in the client's room to ensure their safety during potential seizure activity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
c. Veracity
The nurse is exhibiting the ethical concept of veracity by providing the client with truthful and accurate information about the purpose of the medication. Veracity refers to the obligation to tell the truth and provide information in an honest and transparent manner.
Explanation for the other options:
a .Accountability: Accountability refers to taking responsibility for one's actions and being answerable for the outcomes. While accountability is an important ethical concept for healthcare professionals, it is not directly demonstrated in this situation.
b. Autonomy: Autonomy refers to respecting an individual's right to make their own decisions and choices regarding their healthcare. While the nurse is providing information to the client, autonomy is not directly demonstrated in this situation.
d. Fidelity: Fidelity refers to being faithful and keeping promises or commitments made to clients. While
fidelity is an important ethical concept, it is not directly demonstrated in this situation.
e. Justice: Justice refers to fairness and the equitable distribution of healthcare resources. While justice is an important ethical concept, it is not directly demonstrated in this situation.
In this scenario, the nurse's action of providing truthful information to the client aligns with the ethical
concept of veracity.
Correct Answer is A
Explanation
Answer: A
Rationale:
A) Hgb 20 g/dL:
A hemoglobin level of 20 g/dL is elevated and suggests polycythemia, which can occur in chronic respiratory conditions like COPD due to chronic hypoxia. Elevated hemoglobin levels can increase blood viscosity, leading to complications such as increased risk of thrombosis and cardiovascular stress. This finding indicates a potentially serious issue and should be reported to the healthcare provider immediately to address any underlying causes and manage the client's condition effectively.
B) Oxygen saturation 92%:
An oxygen saturation of 92% is slightly below the typical normal range (95-100%) but is not immediately life-threatening. While it indicates mild hypoxemia, it is a common finding in COPD patients, and the management would typically involve supplemental oxygen or adjustment of therapy. This finding should be monitored but is not the most critical issue to report immediately.
C) Productive cough with green sputum:
A productive cough with green sputum suggests a possible infection or exacerbation of COPD. Although this is an important finding that requires evaluation and possible treatment, it is less critical than an elevated hemoglobin level, which indicates a more acute systemic issue. The green sputum should be reported and managed, but it is not the priority compared to the elevated hemoglobin.
D) Chest x-ray shows hyperinflation of lungs:
Hyperinflation of the lungs is a common radiological finding in COPD due to air trapping. While it is a significant finding, it is generally consistent with the disease's progression and does not indicate an acute problem requiring immediate intervention. Monitoring and managing the underlying COPD are necessary, but this finding is less urgent than the elevated hemoglobin.
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