Which of the following nursing interventions is essential for preventing the spread of meningitis?
Administering antipyretics.
Elevating the head of the bed.
Providing comfort measures.
Practicing good hygiene habits.
The Correct Answer is D
Choice A rationale:
Administering antipyretics helps to reduce fever, but it does not specifically prevent the spread of meningitis. It addresses a symptom but does not target the transmission of the disease.
Choice B rationale:
Elevating the head of the bed is beneficial for clients with increased intracranial pressure, not for preventing the spread of meningitis.
Choice C rationale:
Providing comfort measures can improve the client's well-being, but it does not directly address the prevention of meningitis transmission.
Choice D rationale:
Practicing good hygiene habits, such as regular handwashing, can help prevent the spread of meningitis. Since meningitis can be transmitted through respiratory secretions, practicing good hygiene is essential in reducing the risk of infection transmission.
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Correct Answer is C
Explanation
Choice A rationale:
A blood culture is a test used to detect bacteria or other microorganisms in the bloodstream. While it can be helpful in diagnosing bacterial infections, it is not the most important test for confirming meningitis. The presence of bacteria in the blood does not necessarily confirm meningitis, as the infection may not have spread to the bloodstream yet.
Choice B rationale:
A throat swab is used to collect samples from the throat to identify infections such as strep throat. While throat infections can sometimes lead to complications like meningitis, a throat swab is not the most important test for confirming the diagnosis of meningitis. The infection may not be present in the throat, and direct examination of cerebrospinal fluid is necessary to confirm meningitis.
Choice C rationale:
A lumbar puncture, also known as a spinal tap, is the most important laboratory test to confirm the diagnosis of meningitis. It involves collecting a sample of cerebrospinal fluid (CSF) from the space around the spinal cord and brain. Analysis of the CSF can reveal the presence of bacteria or other pathogens, increased white blood cells, and other indicators of meningitis.
Choice D rationale:
A computed tomography (CT) scan is a diagnostic imaging test that uses X-rays to create detailed cross-sectional images of the body. While it can help identify structural abnormalities in the brain, such as bleeding or tumors, it is not the primary test for confirming meningitis. CT scans may show signs of inflammation, but they cannot definitively diagnose meningitis or distinguish between bacterial, viral, or fungal causes.
Correct Answer is A
Explanation
Choice A rationale:
Bacterial meningitis is the most common and severe type of meningitis in infants and children. The causative bacteria can include Streptococcus pneumoniae, Neisseria meningitidis, and Haemophilus influenzae type b, among others.
Choice B rationale:
Fungal meningitis is less common than bacterial meningitis and is usually associated with specific risk factors, such as immunosuppression or exposure to certain environmental fungi.
Choice C rationale:
Viral meningitis is more common than bacterial meningitis, but it is usually milder and often resolves without specific treatment. Enteroviruses are the most frequent cause of viral meningitis in infants and children.
Choice D rationale:
Parasitic meningitis is a rare form of the disease and is usually associated with specific parasites, such as the amoeba Naegleria fowleri or the parasite Trypanosoma.
Choice E rationale:
Meningitis of unknown origin refers to cases where the cause of meningitis remains unidentified after thorough investigations. It is not a specific type of meningitis but rather a descriptive term for cases with uncertain etiology.
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