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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Increased somnolence or lethargy is a common sign of increased intracranial pressure in infants.
B. Increased heart rate may initially occur but can later slow down as intracranial pressure rises, leading to bradycardia.
C. Depressed fontanels are indicative of dehydration, not increased intracranial pressure. Bulging fontanels are more indicative of increased intracranial pressure.
D. Brisk pupillary reaction to light is normal; a sluggish or absent reaction could indicate increased intracranial pressure.
Correct Answer is B
Explanation
A. Chelation therapy does not stimulate hemoglobin production; it primarily targets iron overload, which can occur due to repeated transfusions.
B. Chelation therapy helps remove excess iron from the body, which accumulates due to frequent blood transfusions required in children with thalassemia.
C. Chelation therapy does not stimulate RBC production. It addresses the issue of iron overload.
D. Chelation therapy does not prevent infections. It is specifically used to treat iron overload in thalassemia patients.
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