The nurse is caring for a patient with bacterial meningitis. What interventions should the nurse include in the plan of care?
Maintain a quiet environment with minimal stimulation.
Provide magazines and other activities to reduce daytime naps.
Provide all care using sterile technique
Limit intake of oral fluids.
The Correct Answer is A
A. Patients with bacterial meningitis often experience headaches, photophobia, and sensitivity to stimuli; a quiet, low-stimulation environment helps reduce discomfort.
B. Encouraging activities to reduce naps is not appropriate; rest is important for recovery.
C. While sterile technique is important for invasive procedures, routine care does not require sterile technique; standard precautions are used.
D. Limiting oral fluids is not generally necessary unless the patient has specific contraindications; hydration is important.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Subluxation involves partial dislocation, usually with more diffuse pain and joint instability.
B. Dislocation typically causes severe pain, deformity, and limited movement, often after trauma.
C. Bursitis causes localized pain, often pinpointed to the bursa area, and is common after repetitive motion or sports activities like racquetball.
D. Rotator cuff tear causes shoulder pain and weakness, not typically localized elbow pain.
Correct Answer is C
Explanation
A. Cerebral palsy (CP) varies widely in severity; not all individuals experience many disabilities.
B. CP is typically caused by decreased oxygen to the brain (hypoxia), not too much oxygen.
C. CP is a non-progressive neurological disorder, meaning the brain injury does not worsen over time, although symptoms may change.
D. CP is usually caused by brain injury before or during birth and is not typically inherited or familial.
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