A nurse is triaging a child who has suspected bacterial meningitis. The nurse recognizes which of the following as the initial action?

Initiate isolation protocols.

Administer IV antibiotics.

Prepare for a lumbar puncture.

Obtain blood cultures.

Answer and Explanation

The Correct Answer is A

A.   Bacterial meningitis is highly contagious, and isolation precautions are necessary to prevent the spread of the infection to others. This should be the nurse's first action to protect both the child and others.
B.   While antibiotics are crucial in treating bacterial meningitis, initiating isolation protocols is the first priority to prevent transmission to others.
C.   A lumbar puncture is needed to confirm the diagnosis of meningitis, but isolation protocols should be established first to prevent spread.
D.   Blood cultures are important for diagnosing bacterial meningitis but are secondary to ensuring proper isolation to prevent contagion.

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Correct Answer is ["C","D","E","F"]

Explanation

A. Pyloric stenosis is unrelated to TOF. It involves the narrowing of the pyloric valve in the stomach and is not a defect associated with TOF.
B. LVH is not typically a feature of TOF, as the primary issues affect the right ventricle.
C. Right ventricular hypertrophy occurs due to the obstruction of blood flow through the pulmonary valve in TOF.
D. In TOF, the aorta is positioned directly over the ventricular septal defect (VSD), which is known as overriding aorta.
E. A VSD is a key component of TOF, where there is a hole between the ventricles, allowing oxygen-poor and oxygen-rich blood to mix.
F. Pulmonary stenosis (narrowing of the pulmonary valve) is one of the hallmark defects in TOF.

A. Negative Prehn's sign B. Rebound abdominal tenderness C. Kernigs sign D. A round smooth non tender mass in the scrotum. E. None F. None

Correct Answer is A

Explanation

A. A negative Prehn's sign (where lifting the scrotum does not relieve pain) is a key sign of testicular torsion, indicating that the blood flow to the testicle is compromised.
B. Rebound abdominal tenderness suggests peritoneal irritation, not specifically testicular torsion.
C. Kernig's sign is a sign of meningitis, not related to testicular torsion.
D. A round, smooth, non-tender mass in the scrotum is more consistent with a hydrocele or hernia, not testicular torsion.

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A nurse is triaging a child who has suspected bacterial meningitis. The nurse recognizes which of the following as the initial action?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a preschool client who has Tetralogy of Fallot (TOF). What are the defects the nurse should be aware of when caring for a client with Teratology of Fallot (TOF)? (Select all that apply).

Correct Answer is ["C","D","E","F"]

Explanation

7-year-old male with sudden scrotal pain reports to the Emergency department with his parent. Exhibits A Nurse is caring for a 7-year-old child with sudden onset of testicular pain. The nurse is aware that the pain may be a testicular torsion and assesses for what?

Correct Answer is A

Explanation

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A nurse is assessing a 3-year-old client who has been diagnosed with an Atrial Septal Defect (ASD). Which of the following findings should the nurse expect? (Select All That Apply)

A nurse is triaging a child who has suspected bacterial meningitis. The nurse recognizes which of the following as the initial action?

A nurse is caring for a child who has undergone a Ventriculoperitoneal (VP) shunt placement procedure. The nurse is aware of the need for careful prioritization of care. Which of the following actions should the nurse prioritize for this child?