A nurse is providing care to a pediatric patient diagnosed with Haemophilus influenzae type b meningitis. Which additional preventive measure should the nurse recommend?

Antibiotic therapy for the family members.

Prophylaxis for the patient's close contacts.

Hygiene education for school staff and students.

Outbreak management protocols for the community.

Vaccination against Neisseria meningitidis.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Antibiotic therapy for the family members is not the most appropriate preventive measure for Haemophilus influenzae type b meningitis. While antibiotics are used to treat the infection, providing antibiotic therapy to family members does not prevent the spread of the bacteria to others.

Choice B rationale:

Prophylaxis for the patient's close contacts is the recommended preventive measure for Haemophilus influenzae type b meningitis. Close contacts of a patient with this type of meningitis, such as household members and daycare contacts, are at an increased risk of contracting the disease. Administering prophylactic antibiotics to these individuals can help prevent the transmission of the bacteria and reduce the likelihood of developing the infection.

Choice C rationale:

Hygiene education for school staff and students is not directly related to preventing the spread of Haemophilus influenzae type b meningitis. While hygiene education is essential for preventing the spread of infections in general, it is not specific to this particular type of meningitis.

Choice D rationale:

Outbreak management protocols for the community may be necessary if there is an outbreak of Haemophilus influenzae type b meningitis. However, this choice does not address the immediate preventive measure needed for the diagnosed pediatric patient and their close contacts.

Choice E rationale:

Vaccination against Neisseria meningitidis is not directly relevant to preventing Haemophilus influenzae type b meningitis. These are two different types of bacteria that cause different forms of meningitis, and vaccination against Neisseria meningitidis would not protect against Haemophilus influenzae type b meningitis.

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Correct Answer is D

Explanation

Choice A rationale:

Pneumococcal meningitis can affect individuals of all ages, although children under five years old and adults over 65 years old are at a higher risk. It is not exclusive to young children under five.

Choice B rationale:

Pneumococcal meningitis is caused by the bacterium Streptococcus pneumoniae, not Haemophilus influenzae type b.

Choice C rationale:

Pneumococcal meningitis is not only prevalent in tropical regions; it can occur worldwide.

Choice D rationale:

With appropriate and timely treatment, the mortality rate of pneumococcal meningitis can be relatively low. However, it is still a severe and potentially life-threatening condition, and prompt medical attention is crucial to avoid complications.

A. "The lumbar puncture involves the insertion of a catheter into the blood vessels near the spine to collect CSF.” B. "The lumbar puncture is done to assess the presence of bacterial or viral infections in the CSF.” C. "The lumbar puncture is a painful procedure and requires general anesthesia.” D. "During the lumbar puncture, you will be asked to bend your neck forward to facilitate the insertion of the catheter.”

Correct Answer is B

Explanation

Choice A rationale:

This statement is incorrect. A lumbar puncture involves the insertion of a needle, not a catheter, into the subarachnoid space of the spinal canal to collect cerebrospinal fluid (CSF) It is not done in blood vessels.

Choice B rationale:

This statement is accurate. A lumbar puncture is performed to obtain a sample of cerebrospinal fluid for analysis. It helps to diagnose and differentiate between bacterial and viral meningitis based on CSF characteristics, such as cell count, glucose levels, and presence of bacteria or viruses.

Choice C rationale:

This statement is incorrect. A lumbar puncture is uncomfortable but is typically not an extremely painful procedure. It is often done with local anesthesia, and the discomfort is usually temporary.

Choice D rationale:

This statement is incorrect. During a lumbar puncture, the patient is usually asked to curl up in a fetal position, bringing the knees close to the chest and the chin to the chest. This position helps to widen the spaces between the spinal bones, making it easier for the healthcare provider to insert the needle into the subarachnoid space. It does not involve bending the neck forward.

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A nurse is providing care to a pediatric patient diagnosed with Haemophilus influenzae type b meningitis. Which additional preventive measure should the nurse recommend?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has been diagnosed with pneumococcal meningitis. Which statement by the client indicates an accurate understanding of the condition?

Correct Answer is D

Explanation

A client is admitted with suspected meningitis, and the healthcare provider orders a lumbar puncture to obtain cerebrospinal fluid (CSF) for analysis. Which of the following statements is accurate regarding this procedure?

Correct Answer is B

Explanation

A nurse is educating a group of parents about meningitis and its transmission. Which of the following statements by the nurse is accurate regarding the transmission of viral meningitis?

A client is diagnosed with viral meningitis. What is the appropriate treatment for this client?

A nurse is assessing the cerebrospinal fluid (CSF) of a client suspected to have meningitis. Which CSF parameter indicates bacterial or fungal infection?

(Select all that apply): A nurse is caring for a client with fungal meningitis. Which antifungal drugs may be used to treat this condition? (Select all that apply)

Which of the following statements about meningitis prevention is accurate?

A nurse is caring for a patient with suspected meningitis. Which diagnostic procedure should the nurse expect to be performed to confirm the diagnosis?

What is the most common and severe type of meningitis in infants and children?

(Select all that apply): A nurse is providing care for a client with meningitis. What are the appropriate nursing interventions for this client? (Select all that apply)