Which of the following statements is true about bacterial meningitis reporting?
Reporting of bacterial meningitis is optional.
It is not necessary to report cases of bacterial meningitis.
Only severe cases of bacterial meningitis need to be reported.
Cases of bacterial meningitis must be reported to the Centers for Disease Control.
The Correct Answer is D
A. Reporting bacterial meningitis is not optional; it is a reportable disease due to its public health significance.
B. It is necessary to report all cases of bacterial meningitis to monitor and control outbreaks.
C. All cases, regardless of severity, must be reported, not just severe cases.
D. Bacterial meningitis is a nationally notifiable disease, meaning cases must be reported to the Centers for Disease Control and Prevention (CDC) to help track and prevent spread.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Blood urea nitrogen assesses kidney function but is less directly related to digoxin toxicity risk.
B. Creatinine also reflects kidney function but is not the highest priority in this context.
C. Hemoglobin levels are not directly related to digoxin administration.
D. Potassium levels are critical to review because hypokalemia increases the risk of digoxin toxicity, and hyperkalemia can also affect the drug's efficacy. Monitoring potassium is essential before giving digoxin.
Correct Answer is A
Explanation
A. Initiate isolation precautions — This is the first action the nurse should take. Bacterial meningitis is highly contagious (often spread via droplet transmission), and immediate isolation (droplet precautions) helps prevent spread to others.
B. Administer antibiotics after collecting cultures — This is a critical next step, but only after the client is placed in isolation to protect others.
C. Prepare for a lumbar puncture after ruling out increased ICP — While a lumbar puncture is important for diagnosis, increased ICP must be ruled out first, and this is not the immediate first action.
D. Start IV fluids — Supportive care is important, but it is not the priority over infection control measures.
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