A nurse is assisting with the care of a client who has suspected meningitis and a decrease level of consciousness. Which of the following actions should the nurse take?

Prepare the client for liver biopsy

Put the client in a protective environment

Position the client dorsal recumbent

Place the client on NPO status

Answer and Explanation

The Correct Answer is D

D. The correct action would be to place the client on NPO (Nothing by Mouth) status, option D. This is because a decreased level of consciousness can increase the risk of aspiration.

A. Liver biopsy is not indicated for suspected meningitis with a decreased level of consciousness. Liver biopsy is a procedure used to obtain a sample of liver tissue for diagnostic purposes, typically to evaluate liver function or diagnose liver diseases.

B. A protective environment (option B) is more related to immunocompromised patients. In the case of decreased level of consciousness, preventing aspiration is key.

C. Dorsal recumbent position refers to lying on the back with the knees flexed. While this position may be suitable for certain medical procedures or examinations, it is not specifically indicated for a client with suspected meningitis and a decreased level of consciousness.

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Correct Answer is D

Explanation

D. Place resuscitation equipment at the child's bedside. This is because epiglottitis can lead to a life- threatening emergency requiring immediate intervention, and having resuscitation equipment readily available is essential for rapid response.

A. Establishing intravenous access may be necessary for administering fluids and medications but it is not the nurse's priority action when caring for a child with suspected epiglottitis.

B. Droplet precautions help reduce the risk of transmission of respiratory pathogens to others. However, the priority is to address the child's respiratory distress and potential airway compromise.

C. Providing blow-by humidified oxygen can be beneficial in managing the child's respiratory status. However, securing the airway takes precedence over other interventions, as indicated by the guidelines for managing epiglottitis.

A. Infants are in a supine or prone position most of the time. B. Sucking on a nipple creates middle ear pressure. C. The Eustachian tube is short, straight, and wide. D. Sucking on a nipple creates middle ear pressure.

Correct Answer is C

Explanation

C. The Eustachian tube in infants is shorter, straighter, and wider compared to adults. This anatomy makes it easier for bacteria or viruses from the nasopharynx to travel up the Eustachian tube and infect the middle ear, contributing to the increased susceptibility to otitis media.

A. Infants spend a significant amount of time lying down, whether in a supine (on their backs) or prone (on their stomachs) position. However, this does not increase the risk of otitis media

B. Sucking on a nipple does create pressure changes in the middle ear but it's not the primary reason infants are more susceptible to otitis media.

D. Sucking on a nipple does create pressure changes in the middle ear but it's not the primary reason infants are more susceptible to otitis media

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A nurse is assisting with the care of a client who has suspected meningitis and a decrease level of consciousness. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a preschool-aged child who presents with manifestations of epiglottitis. Which of the following actions is the nurse's priority to perform?

Correct Answer is D

Explanation

A parent comments that her infant has had several ear infections in the past few months. Why are infants more susceptible to otitis media?

Correct Answer is C

Explanation

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