The nurse is preparing to collect data for a patient's neurological status. What equipment should the nurse gather?

Blood pressure cuff

Pen light

Thermometer

Stethoscope

Answer and Explanation

The Correct Answer is B

A. A blood pressure cuff is not directly needed to assess neurological status. While blood pressure is important to monitor in neurological assessments, it is not the primary tool used for assessing neurological function.

B. A pen light is essential for assessing pupil reaction, which is a key part of a neurological exam. The nurse can use the pen light to check for pupil dilation, constriction, and reaction to light, which are important indicators of brain function.

C. A thermometer is useful for measuring body temperature but is not a primary tool for assessing neurological status. Although fever can be a sign of infection affecting the brain, it is not part of the basic neurological exam.

D. A stethoscope is useful for listening to heart and lung sounds, but it is not typically used for assessing neurological function. The pen light is the more appropriate tool for this purpose.

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Correct Answer is D

Explanation

A. Neutropenic precautions are used for clients with compromised immune systems, such as those undergoing chemotherapy or bone marrow suppression. This is not appropriate for bacterial meningitis.

B. Contact isolation is used for infections that are transmitted through direct contact with the patient or their environment, such as MRSA or C. difficile. Bacterial meningitis, however, is spread through respiratory droplets.

C. Universal precautions refer to standard infection control practices (like hand hygiene and wearing gloves) that apply to all patients, but specific precautions are needed for certain infections like bacterial meningitis.

D. Droplet isolation is necessary for bacterial meningitis, as it is transmitted via respiratory droplets from coughing, sneezing, or talking. This isolation prevents the spread of the infection to others in close proximity.

A. ECG tracing shows irregularly irregular heart rate without P waves. B. Slurred speech C. aPTT result of 70 seconds D. Urine output is cloudy and odorous

Correct Answer is B

Explanation

A. The ECG finding of an irregularly irregular heart rate without P waves is characteristic of atrial fibrillation, which is expected in this client. This finding is not the priority in this situation.

B. Slurred speech is a potential sign of a stroke, which is a serious complication of atrial fibrillation due to the increased risk of thromboembolic events (e.g., stroke). This is the priority finding because it requires immediate intervention to assess and manage a possible stroke.

C. An aPTT of 70 seconds is slightly elevated, but it is within the therapeutic range for heparin therapy (usually 1.5 to 2.5 times the normal value). It does not warrant immediate action.

D. Cloudy and odorous urine could indicate a urinary tract infection or other issue, but it is not immediately life-threatening compared to the potential for a stroke in this client.

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The nurse is preparing to collect data for a patient's neurological status. What equipment should the nurse gather?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What infection control precaution is a client diagnosed with bacterial meningitis instituted?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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