When managing a suspected case of meningitis, what is the appropriate action regarding antibiotics?
Administer antibiotics only if the client has a high fever on two separate occasions
Start antibiotics immediately, even before confirmation of diagnosis
Wait for confirmation of diagnosis before starting antibiotics
Avoid antibiotics altogether as they are not effective against bacterial meningitis
The Correct Answer is B
A. Administer antibiotics only if the client has a high fever on two separate occasions – Waiting for multiple fevers delays critical treatment and is not evidence-based.
B. Start antibiotics immediately, even before confirmation of diagnosis – In suspected bacterial meningitis, early administration of broad-spectrum antibiotics is life-saving. Delaying treatment until confirmation can lead to rapid deterioration due to the severity and speed of disease progression.
C. Wait for confirmation of diagnosis before starting antibiotics – Delaying antibiotic treatment while waiting for lab confirmation (e.g., lumbar puncture) puts the patient at risk of worsening illness and complications.
D. Avoid antibiotics altogether as they are not effective against bacterial meningitis – Antibiotics are the mainstay of treatment for bacterial meningitis and significantly reduce mortality and morbidity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Decerebrate posturing is characterized by extension and rigidity of the arms and legs, typically indicating damage to the midbrain or pons. It reflects severe brain injury.
B. Tonic-clonic seizures involve rhythmic muscle contractions but are not posturing.
C. Involuntary twisting and repetitive movements describe dystonia or chorea, not decerebrate posturing.
D. Uncontrolled jerking movements describe myoclonus or seizures, not decerebrate posturing.
Correct Answer is C
Explanation
A. A thin and strong left ventricle is not typical of systolic heart failure.
B. A thick and weak ventricle is more characteristic of diastolic heart failure (impaired relaxation and filling).
C. Systolic heart failure involves impaired contraction of the left ventricle, which often becomes thin and weak due to ventricular dilation and loss of contractile strength.
D. A thick and strong ventricle is not typical of heart failure.
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