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","C","D"]
Explanation
A. Right atrial enlargement occurs due to the increased blood flow from left to right shunting, which can cause volume overload in the right atrium.
B. Left atrial enlargement is typically seen in conditions that cause increased left atrial pressure, such as mitral valve disease or left-sided heart failure, not in ASD.
C. Shortness of breath is a common symptom due to increased blood flow to the lungs, which can lead to pulmonary congestion.
D. Pulmonary hypertension may develop over time due to increased blood flow and pressure in the pulmonary circulation from the left-to-right shunting of blood.
E. Pulmonary hypotension is not associated with ASD. The condition typically leads to increased pressure in the pulmonary arteries, not decreased pressure
Correct Answer is C
Explanation
A. Tricuspid atresia causes underdevelopment of the right side of the heart and does not result in increased pulmonary blood flow.
B. Pulmonic stenosis causes obstruction of blood flow to the lungs, not an increase in blood flow.
C. A ventricular septal defect (VSD) is a congenital heart defect that allows blood to flow from the left ventricle to the right ventricle, increasing blood flow to the lungs and causing pulmonary congestion.
D. Transposition of the great arteries results in two separate circulations, one for oxygenated and one for deoxygenated blood, and does not increase pulmonary blood flow
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