The nurse is caring for a patient suspected of having meningitis.
After reviewing the lab results, which medication does the nurse anticipate the provider will prescribe to treat the meningitis?

Antibiotic therapy

Antiemetics

Analgesics

Antiviral therapy

Answer and Explanation

The Correct Answer is A

Choice A rationale
If a patient is suspected of having meningitis, the provider will likely prescribe antibiotic therapy after reviewing the lab results. Meningitis is often caused by a bacterial infection, and antibiotics are the primary treatment. The specific antibiotic prescribed will depend on the type of bacteria causing the infection.
Choice B rationale
Antiemetics are medications that help prevent and treat nausea and vomiting. They are not typically used as the primary treatment for meningitis.
Choice C rationale

Analgesics are medications that relieve pain. While they may be used to help manage symptoms in a patient with meningitis, they are not used to treat the underlying infection.
Choice D rationale
Antiviral therapy may be used if the meningitis is caused by a viral infection. However, most cases of meningitis are caused by bacteria, and antibiotics are the primary treatment.

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Correct Answer is D

Explanation

Choice A rationale:
Respiratory acidosis is characterized by a low pH (less than 7.35), a high PaCO2 (greater than 45 mm Hg), and a normal or high HCO3 (22-26 mEq/L). It occurs when there is a buildup of carbon dioxide in the blood due to impaired ventilation.
The patient's ABGs do not align with respiratory acidosis because the pH is elevated (7.6), and the PaCO2 is within the normal range (40 mm Hg).
Choice B rationale:
Respiratory alkalosis is characterized by a high pH (greater than 7.45), a low PaCO2 (less than 35 mm Hg), and a normal or low HCO3 (22-26 mEq/L). It occurs when there is excessive loss of carbon dioxide through hyperventilation.
The patient's ABGs do not align with respiratory alkalosis because the HCO3 is elevated (32 mEq/L), which is not typical for this condition.
Choice C rationale:
Metabolic acidosis is characterized by a low pH (less than 7.35), a normal or low PaCO2 (less than 40 mm Hg), and a low HCO3 (less than 22 mEq/L). It occurs when there is an excess of acid in the body or a loss of bicarbonate.
The patient's ABGs do not align with metabolic acidosis because the pH is elevated (7.6), and the HCO3 is elevated (32 mEq/L).
Choice D rationale:

Metabolic alkalosis is characterized by a high pH (greater than 7.45), a normal or high PaCO2 (40-45 mm Hg), and an elevated HCO3 (greater than 26 mEq/L). It occurs when there is an excess of bicarbonate in the body or a loss of acid.
The patient's ABGs align with metabolic alkalosis because of the high pH (7.6), normal PaCO2 (40 mm Hg), and elevated HCO3 (32 mEq/L).

Correct Answer is ["0.9 "]

Explanation

Step 1: We are instructed to administer tobramycin 35mg IM every 8 hours. The available supply is 40mg in a 1 mL vial.

Step 2: We need to find out how many mL’s should the nurse administer. Step 3: We can set up a proportion to solve this.

Step 4: If 40mg is equivalent to 1mL, then 35mg is equivalent to x mL. Step 5: Solving for x gives us x = (35mg ÷ 40mg) × 1mL.

Step 6: Calculating the above expression gives us x = 0.875 mL.

Step 7: Rounding our answer to the nearest tenth, we get 0.9 mL. So, the nurse should administer 0.9 mL.

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The nurse is caring for a patient suspected of having meningitis. After reviewing the lab results, which medication does the nurse anticipate the provider will prescribe to treat the meningitis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is analyzing the arterial blood gas (ABG) results of a patient. The patient’s ABGs are: pH:7.6, PaCO2:40 mm Hg, HCO3:32 mEq/L. Which of the following acid-base conditions should the nurse identify the patient is experiencing?

Correct Answer is D

Explanation

You are instructed to administer tobramycin 35mg IM every 8 hours. The available supply is 40mg in a 1 mL vial. How many mL’s should the nurse administer? Round your answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.

Correct Answer is ["0.9 "]

Explanation

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The nurse is caring for a patient suspected of having meningitis.
After reviewing the lab results, which medication does the nurse anticipate the provider will prescribe to treat the meningitis?