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

Neutropenic precautions

Contact isolation

Universal precautions

Droplet isolation

Answer and Explanation

The Correct Answer is D

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.

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Correct Answer is A

Explanation

A. A lumbar herniated disc commonly causes radiating pain down the leg, known as sciatica. This occurs when the herniated disc compresses a nerve root, often causing pain, numbness, tingling, or weakness that radiates down the leg.

B. Headache is not a typical symptom of a lumbar herniated disc. Headaches are generally associated with conditions affecting the head or neck, not the lower back.

C. Difficulty breathing is not associated with a lumbar herniated disc. Breathing problems are typically related to respiratory or cardiac conditions, not issues with the spine.

D. Blurred vision is not a symptom of a lumbar herniated disc. Vision changes are more often related to eye or neurological issues affecting the brain, not the lower back.

A. Increased LOC and increased range of motion B. Restlessness, irritability, and decreased LOC C. Pain in the calf and neck D. Fever and chills

Correct Answer is B

Explanation

A. Increased LOC (level of consciousness) and increased range of motion are not typical symptoms of increased intracranial pressure (ICP). In fact, ICP usually leads to a decreased level of consciousness, not an increase.

B. Restlessness, irritability, and decreased LOC are early signs of increased intracranial pressure. As pressure inside the skull rises, the brain becomes less able to function normally, leading to changes in behavior and cognition, such as restlessness and irritability, followed by a decrease in consciousness.

C. Pain in the calf and neck is not a typical symptom of ICP. While neck pain may occur with certain neurological conditions, it is not a hallmark of increased intracranial pressure.

D. Fever and chills are not initial symptoms of ICP. These symptoms are more indicative of infection, such as meningitis, rather than increased intracranial pressure.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is a common sign or symptom of a lumbar herniated disc?

Correct Answer is A

Explanation

What are the initial symptoms of ICP (increased intracranial pressure)?

Correct Answer is B

Explanation

A nurse is caring for a client who has hemiplegia following a stroke. The client's adult son is distressed over his mother's crying and condition. Which of the following responses should the nurse make?

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Which of the following responses indicates sympathetic nervous system activation?

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