Which interventions would the nurse include in the plan of care for a patient with a diagnosis of bacterial meningitis?

Maintain the patient in a flat, supine position

Restrain the patient in bed.

Reduce the patient's environmental stimuli as much as possible

Increase the patient's fluid intake

Answer and Explanation

The Correct Answer is C

A.   A flat supine position is not recommended for patients with meningitis; they should be kept at a 30- degree angle to reduce ICP.

B.   Restraining the patient is unnecessary unless there is an immediate risk of harm, and it can cause distress.
C.   Reducing environmental stimuli helps minimize discomfort and risk of seizures, especially in meningitis, which causes hypersensitivity to light and sound.
D.   Fluid intake should be monitored carefully. Excessive fluids may increase ICP in a patient with meningitis.

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Correct Answer is B

Explanation

B. Brain cells begin to die within 2 minutes if blood flow is interrupted, which is why rapid intervention is crucial during a stroke or other conditions that block cerebral blood flow.
A. 8 minutes is too long for brain cells to survive without oxygen.
C. 20 minutes is too long for brain cells to survive without oxygen.
D. 5 minutes is too long for brain cells to survive without oxygen.

A. "My partner should sit at a 30° angle while eating their meals." B. "My partner should tilt their head forward when swallowing." C. "My partner should cough while swallowing food." D. "My partner should place their food on the weaker side of their mouth when eating."

Correct Answer is B

Explanation

A. Sitting at a 30° angle is not optimal for eating. The client should sit upright at a 90° angle to ensure safe swallowing.
B. Tilting the head forward while swallowing helps promote a safer swallow and reduces the risk of aspiration.
C. Coughing while swallowing is not a recommended strategy unless there is aspiration, and it does not address prevention of dysphagia.
D. Placing food on the weaker side of the mouth is not recommended. The food should be placed on the stronger side to improve swallowing safety.

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Which interventions would the nurse include in the plan of care for a patient with a diagnosis of bacterial meningitis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

If blood flow to the brain is interrupted, how quickly does cellular death occur?

Correct Answer is B

Explanation

A nurse is teaching the partner of a client who had a stroke about dysphagia. Which of the following statements by the client's partner should indicate to the nurse that the teaching was effective?

Correct Answer is B

Explanation

An RN is teaching a student nurse about tissue plasminogen activator (tPA) administration in a patient with ischemic stroke. Which statement made by the student nurse indicates a need for further teaching?

A nurse is preparing to administer an osmotic diuretic IV to a client with increased intracranial pressure. Which of the following should the nurse identify as the purpose of the medication?

Which interventions would the nurse include in the plan of care for a patient with a diagnosis of bacterial meningitis?

A nurse is planning care for a client 1 day postoperative following a detached retinal repair. Which of the following instructions should the nurse include in the plan?

A nurse observes a patient whose right eye is fixed and dilated, for which cranial nerve (CN) would the nurse suspect nerve compression?

A nurse is teaching an older adult client who has diabetes mellitus about preventing the long- term complications of retinopathy and nephropathy. Which of the following instructions should the nurse include?

Which laboratory result would the nurse anticipate when reviewing the cerebrospinal fluid analysis of a patient with bacterial meningitis?

A nurse is assessing a client who has meningitis. Which of the following findings should the nurse expect?