A nurse is assessing a client who reports severe headache and a stiff neck. The nurse's assessment reveals positive Kernig's signs. Which of the following actions should the nurse perform first?
Administer Antibiotics
Decrease bright lights
Initiate IV access
Implement droplet precautions
The Correct Answer is D
A. Administering antibiotics is crucial but not the immediate first action.
B. Decreasing bright lights can help with comfort but is not the first priority.
C. Initiating IV access is important for medication administration but not the first action.
D. Implementing droplet precautions is the first action to prevent the spread of potentially contagious bacterial meningitis until the causative organism is identified.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Tachycardia can occur due to dehydration from excessive fluid loss in diabetes insipidus.
B. Hyperglycemia is associated with diabetes mellitus, not diabetes insipidus.
C. Bounding peripheral pulses are not typical in diabetes insipidus.
D. Hypertension is not a common finding in diabetes insipidus; hypotension is more likely due to fluid loss.
Correct Answer is D
Explanation
A. Administering antibiotics is crucial but not the immediate first action.
B. Decreasing bright lights can help with comfort but is not the first priority.
C. Initiating IV access is important for medication administration but not the first action.
D. Implementing droplet precautions is the first action to prevent the spread of potentially contagious bacterial meningitis until the causative organism is identified.
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