An adolescent has just had a generalized seizure and collapsed in the school nurse's office. When should the nurse call 911?

The child is confused and cannot remember anything regarding the seizure.

The child fell at the onset of the seizure

The seizure lasts more than 5 minutes.

The child is sleepy and lethargic after the seizure

Answer and Explanation

The Correct Answer is C

A. The child is confused and cannot remember anything regarding the seizure: Postictal confusion is normal after a seizure and does not require emergency services.

B. The child fell at the onset of the seizure: Falls can occur with seizures, but unless there is a suspected injury or prolonged seizure activity, calling 911 is unnecessary.

C. The seizure lasts more than 5 minutes: A seizure lasting more than 5 minutes is considered status epilepticus and is a medical emergency requiring immediate intervention.

D. The child is sleepy and lethargic after the seizure: Postictal sleepiness is a common and expected phase after a generalized seizure.

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Correct Answer is ["B","D","E"]

Explanation

A. Clear CSF: Clear CSF is typically seen in viral meningitis or normal findings, not bacterial meningitis.

B. Cloudy CSF: Cloudy CSF indicates the presence of infection and is characteristic of bacterial meningitis.

C. Negative gram stain: A negative gram stain indicates the absence of bacterial pathogens, which is not consistent with bacterial meningitis.

D. Decreased glucose content: Bacteria consume glucose, leading to decreased glucose levels in bacterial meningitis.

E. Positive gram stain: A positive gram stain confirms the presence of bacterial organisms in the CSF, supporting a diagnosis of bacterial meningitis.

A. Haemophilus Influenza Type B (HIB) Vaccine and TDAP B. Inactivated polio vaccine (IPV) and Pneumococcal Conjugate Vaccine (PCV) C. DTAP and Varicella Vaccine D. Pneumococcal Conjugate Vaccine (PCV) and Haemophilus Type B (HIB Vaccine)

Correct Answer is D

Explanation

A. Haemophilus Influenza Type B (HIB) Vaccine and TDAP. HIB vaccine reduces the incidence of meningitis caused by Haemophilus influenzae, but TDAP does not target pathogens responsible for meningitis.

B. Inactivated polio vaccine (IPV) and Pneumococcal Conjugate Vaccine (PCV). IPV prevents polio but has no impact on meningitis incidence. PCV is correct for preventing Streptococcus pneumoniae meningitis.

C. DTAP and Varicella Vaccine. DTAP does not prevent bacterial meningitis, and varicella vaccine prevents chickenpox, not meningitis.

D. Pneumococcal Conjugate Vaccine (PCV) and Haemophilus Type B (HIB Vaccine). These vaccines directly prevent bacterial meningitis caused by Streptococcus pneumoniae and Haemophilus influenzae, which were previously leading causes of meningitis in children.

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An adolescent has just had a generalized seizure and collapsed in the school nurse's office. When should the nurse call 911?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the cerebral spinal fluid analysis for a group of clients who have suspected meningitis. Which of the following analysis findings would be consistent with a diagnosis of bacterial meningitis? (Select three answers that apply).

Correct Answer is ["B","D","E"]

Explanation

A nurse is assisting with the development of an inservice about viral and bacterial meningitis. The nurse should include that the introduction of which of the following immunizations decreased the incidence of bacterial meningitis?

Correct Answer is D

Explanation

Which of the following is a common symptom of meningitis?

The nurse instructs a mother of a child who has seizures regarding seizure precautions. Which statement by the mother indicates a need for further teaching?

A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis. Which of the following actions is the nurse's priority?

A nurse is attending a continuing education course about communicable diseases. The nurse should identify that varicella has which of the following incubation periods?

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A nurse enters a school age child's room to administer morning medications and finds the client sitting in a chair having a seizure. After lowering the client to the floor, which of the following actions should the nurse take first?

A nurse is reinforcing teaching with the guardian of an infant who has Down Syndrome and respiratory symptoms. Which of the following statements by the guardian indicates an understanding of the teaching?

An adolescent has just had a generalized seizure and collapsed in the school nurse's office. When should the nurse call 911?