The nurse is caring for a patient with bacterial meningitis caused by Haemophilus influenzae type B. What should the nurse include in the patient's plan of care?

Monitoring of neurologic status

Infusion of large volumes of isotonic intravenous fluids

Standard precautions

Distraction activities to reduce long periods of sleep.

Answer and Explanation

The Correct Answer is A

Choice A reason: This is correct. Monitoring of neurologic status is a priority intervention for a patient with bacterial meningitis, as the infection can cause inflammation and damage to the brain and spinal cord. The nurse should assess the patient's level of consciousness, pupillary response, cranial nerve function, and signs of increased intracranial pressure.

Choice B reason: This is incorrect. Infusion of large volumes of isotonic intravenous fluids is not indicated for a patient with bacterial meningitis, as it can worsen the cerebral edema and increase the intracranial pressure. The patient should receive adequate hydration, but not excessive fluids.

Choice C reason: This is incorrect. Standard precautions are not sufficient for a patient with bacterial meningitis, as the infection can be transmitted through respiratory droplets. The patient should be placed on droplet precautions, which include wearing a mask, gloves, and gown, and limiting the contact with other patients and visitors.

Choice D reason: This is incorrect. Distraction activities to reduce long periods of sleep are not appropriate for a patient with bacterial meningitis, as the patient may need rest and sedation to reduce the agitation and pain. The nurse should provide a quiet and dark environment, and avoid unnecessary stimuli that can increase the intracranial pressure.

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Correct Answer is C

Explanation

Choice A reason: This is incorrect. Apples, oranges and strawberries are good sources of vitamin C, which can help with iron absorption, but they are not high in iron content themselves. The patient should eat foods that are rich in both iron and vitamin C.

Choice B reason: This is incorrect. Tuna fish, white bread and green vegetables are not high in iron content either. Tuna fish is a source of protein, but it has less iron than other types of meat or fish. White bread is refined and has less iron than whole grain bread. Green vegetables have some iron, but not enough to meet the daily requirements.

Choice C reason: This is correct. Lean beef, raisins and prunes are high in iron content and can help the patient with iron deficiency anemia. Lean beef is a source of heme iron, which is more easily absorbed by the body than non-heme iron from plant sources. Raisins and prunes are dried fruits that have more iron than fresh fruits.

Choice D reason: This is incorrect. White chicken meat, whole milk and rice are not high in iron content either. White chicken meat has less iron than dark chicken meat or red meat. Whole milk is a source of calcium, which can interfere with iron absorption. Rice is a source of carbohydrates, but it has less iron than other grains or legumes.

A. Diplopia B. Fatigue that worsens with heat C. Muscle weakness, spasticity, tremors D. Orthostatic hypotension E. Numbness and tingling

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

Explanation

Choice A reason: Diplopia, or double vision, is a symptom of multiple sclerosis that results from damage to the optic nerve or the brainstem. It can affect one or both eyes, and it can cause difficulty with reading, driving, and other activities that require visual coordination.

Choice B reason: Fatigue that worsens with heat is a symptom of multiple sclerosis that occurs due to the impaired transmission of nerve impulses in the central nervous system. Heat can exacerbate this impairment and make the patient feel more tired, weak, and sluggish.

Choice C reason: Muscle weakness, spasticity, tremors are symptoms of multiple sclerosis that result from damage to the motor pathways in the brain and spinal cord. They can affect the patient's mobility, balance, coordination, and speech.

Choice D reason: Orthostatic hypotension, or a sudden drop in blood pressure when standing up, is not a common symptom of multiple sclerosis. It can be caused by other conditions, such as dehydration, anemia, or heart problems.

Choice E reason: Numbness and tingling are symptoms of multiple sclerosis that result from damage to the sensory pathways in the brain and spinal cord. They can affect any part of the body, but they are more common in the limbs, face, and trunk.

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The nurse is caring for a patient with bacterial meningitis caused by Haemophilus influenzae type B. What should the nurse include in the patient's plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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

Explanation

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