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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: While promoting appropriate lifestyle changes is an important aspect of managing lipid disorders, it is not the primary goal of screening. Screening aims to identify individuals who may not yet show symptoms but could benefit from early interventions.
Choice B reason: The primary goal of screening for lipid disorders is the early detection of disease. This allows for timely intervention which can prevent the progression of the disease and reduce the risk of complications such as cardiovascular disease.
Choice C reason: Client enrollment in prevention programs is a subsequent step after screening. The goal of screening is to identify those who need these programs, not to enroll them directly.
Choice D reason: Identification of a family history of medical problems is part of the screening process to assess risk factors, but it is not the primary goal. The main objective is to detect lipid disorders before they lead to disease.
Correct Answer is A
Explanation
Choice A reason: Euphoria is a common effect of heroin use due to its action on the brain's reward system.
Choice B reason: Nystagmus, or rapid involuntary movements of the eyes, is not typically associated with heroin use.
Choice C reason: Tachypnea, or rapid breathing, is not a common finding after heroin use; respiratory depression is more likely.
Choice D reason: Pupillary constriction, not dilation, is typically seen after heroin use due to its action on the parasympathetic nervous system.
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