A nurse in an emergency department receives a client who has a temperature of 39.1° C (102.4 F) and a suspected diagnosis of bacterial meningitis. Which of the following actions should the nurse take first?

Prepare the client for a lumbar puncture.

Insert an IV catheter.

Initiate isolation precautions.

Administer an antipyretic to the client.

Answer and Explanation

The Correct Answer is C

Choice A reason: Preparing for a lumbar puncture is important for diagnosis but not the immediate first action for a suspected case of bacterial meningitis.

Choice B reason: Inserting an IV catheter is a preparatory step for treatment but does not address the immediate need to prevent transmission.

Choice C reason: Initiating isolation precautions is the first and most critical action to prevent the spread of infection, as bacterial meningitis can be highly contagious.

Choice D reason: While managing fever is important, it is not the first priority before ensuring the safety of other patients and healthcare workers.

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Correct Answer is C

Explanation

Choice A reason: Therapeutic touch is not primarily known to help with posture. It is more focused on energy fields and relaxation.

Choice B reason: While there are claims that therapeutic touch can influence the immune system, the evidence is not strong enough to definitively state it strengthens the immune system.

Choice C reason: Therapeutic touch is commonly used to promote deep relaxation and reduce stress, which is

supported by some studies.

Choice D reason: There is limited evidence to suggest that therapeutic touch directly increases energy levels.

A. Market the health fair to the employees. B. Obtain necessary supplies and equipment. C. Determine the health concerns of the employees. D. Make a list of expected outcomes for the health fair.

Correct Answer is C

Explanation

Choice A reason: Marketing the health fair is important but not the first step. The content of the marketing material will depend on the identified health concerns of the employees.

Choice B reason: Obtaining supplies and equipment is necessary but should be based on the needs identified through the health concerns of the employees.

Choice C reason: Determining the health concerns of the employees is the first action to take, as it will guide the planning and content of the health fair.

Choice D reason: Making a list of expected outcomes is part of the planning process that should be informed by the identified health concerns of the employees.

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A nurse in an emergency department receives a client who has a temperature of 39.1° C (102.4 F) and a suspected diagnosis of bacterial meningitis. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is evaluating outcomes for a client who is using alternative and complementary therapies. Which of the following statements should the nurse expect the client to make about therapeutic touch?

Correct Answer is C

Explanation

An occupational health nurse is preparing for an initial meeting with a committee that is planning a health fair for an industrial worksite. Which of the following actions should the nurse instruct the committee members to take first?

Correct Answer is C

Explanation

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