(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)
Administering intravenous fluids.
Applying warm compresses to the forehead.
Providing dim lighting and minimizing noise.
Giving prophylactic antibiotics.
Monitoring vital signs and neurological status.
Correct Answer : A,C,D,E
Choice A rationale:
Administering intravenous fluids is an appropriate nursing intervention for a client with meningitis. Meningitis can cause dehydration due to fever, decreased oral intake, and increased fluid loss. IV fluids help maintain hydration and prevent complications.
Choice B rationale:
Applying warm compresses to the forehead is not a standard nursing intervention for meningitis. Fever is a common symptom of meningitis, and while comfort measures may be used to manage fever, warm compresses on the forehead are not specific to meningitis and may not be well-tolerated by some patients.
Choice C rationale:
Providing dim lighting and minimizing noise are appropriate nursing interventions for a client with meningitis. Meningitis can cause sensitivity to light and sound, and creating a calm and quiet environment can help reduce discomfort and promote healing.
Choice D rationale:
Giving prophylactic antibiotics is an appropriate nursing intervention for bacterial meningitis. Once the diagnosis of bacterial meningitis is confirmed or suspected, antibiotics should be initiated promptly to control the infection and prevent complications.
Choice E rationale:
Monitoring vital signs and neurological status is crucial for a client with meningitis. Vital signs such as temperature, heart rate, respiratory rate, and blood pressure should be closely monitored to assess for any signs of worsening condition or complications. Neurological assessments help identify changes in the client's mental status, reflexes, and cranial nerve function.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Viral meningitis is caused by viral infections and is more commonly seen in the summer and fall months rather than in tropical regions during winter.
Choice B rationale:
Bacterial meningitis is more common in tropical regions during the winter season. It is caused by bacterial infections and can be severe and life-threatening if not promptly treated. The colder weather in the winter may increase the transmission of bacteria responsible for causing meningitis.
Choice C rationale:
Fungal meningitis is not specifically associated with any particular season or region. It can occur in individuals with weakened immune systems, but it is not more common in tropical regions during winter.
Choice D rationale:
Parasitic meningitis is primarily caused by parasites and is not typically associated with any specific season or region. It is a rare form of meningitis and is not more prevalent in tropical regions during winter.
Correct Answer is C
Explanation
Choice A rationale:
A cloudy appearance of cerebrospinal fluid (CSF) can indicate the presence of white blood cells and bacteria, suggesting an infection. However, it is not specific to bacterial or fungal infection and can also be seen in viral meningitis or non-infectious conditions like multiple sclerosis.
Choice B rationale:
Increased pressure in the CSF may occur in meningitis due to the inflammation and accumulation of fluid. While it can raise suspicion for meningitis, it is not specific to bacterial or fungal infection and can also be observed in other intracranial conditions.
Choice C rationale:
Decreased glucose levels in the CSF are a characteristic finding in bacterial or fungal meningitis. The invading bacteria or fungi consume glucose, leading to lower levels in the CSF compared to normal blood glucose levels. This finding helps differentiate bacterial or fungal meningitis from viral meningitis, where glucose levels are usually normal.
Choice D rationale:
Elevated protein levels in the CSF can be seen in various conditions, including meningitis. While it indicates increased inflammation and breakdown of cells, it is not specific to bacterial or fungal infection and can be present in viral or other forms of meningitis.
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