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The nurse is caring for a client with a headache, nuchal rigidity, petechial rash, and fever. What interventions are the priority for the nurse to implement? Select all that apply.

Keep the client in a low stimulus environment

Assist with lumbar puncture

Administer the meningococcal vaccine for treatment.

Initiate intravenous antibiotics

Assess neurologic status daily

Implement seizure precautions

Implement droplet precautions

Answer and Explanation

Correct Answer : A,B,D,F,G

A. A low-stimulation environment helps reduce discomfort and agitation, which is important for clients with meningitis.

B. Assisting with a lumbar puncture is essential for confirming the diagnosis and guiding treatment.

C. The meningococcal vaccine is preventive, not a treatment for active infection. Antibiotics are the primary treatment.

D. Intravenous antibiotics should be initiated immediately to treat bacterial meningitis and reduce morbidity and mortality.

E. While assessing neurologic status is important, daily assessment alone is insufficient; continuous monitoring and early interventions are priority.

F. Seizure precautions are important because meningitis can increase the risk of seizures due to irritation of the meninges.

G. Droplet precautions are necessary to prevent transmission of Neisseria meningitidis, which is highly contagious.

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Correct Answer is A

Explanation

A. Completing the full course of antibiotics is the priority to eradicate infection and prevent recurrence, sepsis, or worsening renal impairment.

B. Frequent baths actually increase the risk of urinary tract infection (UTI).

C. Adequate fluids are encouraged, but 4 liters/day is excessive and could worsen renal impairment in a client with elevated creatinine.

D. Wiping back to front increases infection risk; the correct teaching is front to back.

A. Nocturia B. Urinary dribbling C. Urinary frequency D. Elevated temperature E. Weak stream

Correct Answer is ["A","B","C","E"]

Explanation

A. Nocturia (frequent urination at night) is a common symptom of BPH due to incomplete bladder emptying.

B. Urinary dribbling can occur as the enlarged prostate obstructs urine flow.

C. Urinary frequency results from decreased bladder capacity and incomplete emptying caused by the obstruction.

D. Elevated temperature is not a typical sign of BPH; it may indicate infection such as a urinary tract infection, not BPH itself.

E. Weak urinary stream occurs due to obstruction of the urethra by the enlarged prostate.

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Creatinine 1.8 mg/dL	Ref: 0.6-1.3 mg/dL
White blood cell (WBC) 16,000 mm3	Ref: 5,000-10,000 mm3
Platelet count 120,000	Ref: 140,000-400,000
C-Reactive Protein 5 mg/dL	Ref: <1 mg/dL

Heart Rate	115 beats per minute
Blood pressure	100/70 mmHg
Temperature	98.7 F (37.0 C)
Oxygen saturation	90% on room air

The nurse is caring for a client with a headache, nuchal rigidity, petechial rash, and fever. What interventions are the priority for the nurse to implement? Select all that apply.

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

The nurse is assessing a client in the clinic. Which assessment findings indicate that the client may have benign prostatic hyperplasia (BPH)? (Select all that apply)

Correct Answer is ["A","B","C","E"]

Explanation

The nurse is caring for a client with diverticulitis. Vitals are as follows. What laboratory value is the priority to report to the healthcare provider? Heart Rate 115 beats per minute Blood pressure 100/70 mmHg Temperature 98.7 F (37.0 C) Oxygen saturation 90% on room air

The nurse is caring for a client who has just returned to the post-surgical unit following cholecystectomy for gallbladder disease. What assessment finding should the nurse immediately report to the health care provider?

The nurse is providing discharge teaching to the parent of a 10-month-old who had tympanostomy tubes (PE tubes) placed. What statement(s) indicate understanding? (Select all that apply).

The school nurse is educating parents on how to care for their child with pediculosis capitis. What will the nurse include when explaining to the parents how to manage pediculosis capitis?

The nurse is caring for a client with multiple sclerosis (MS). The client tells the nurse the hardest thing to deal with is the fatigue. When teaching the client how to reduce fatigue, what action should the nurse suggest?

The nurse is caring for a client who had a left total hip replacement three days ago. The client suddenly has severe left hip pain and the nurse notes a shortening of the left lower extremity. What complication does the nurse suspect?

The school nurse is educating a group of parents about impetigo. Which statement indicates understanding by the parents?

What is the most appropriate question for the nurse to ask to help determine a potential contributing factor when assessing a client recently diagnosed with acute glomerulonephritis?