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 A

Explanation

A. Rheumatic fever often develops as a complication of untreated or inadequately treated streptococcal throat infections, particularly group A Streptococcus. A history of a recent sore throat in a family member could suggest a streptococcal infection, which is a risk factor for developing rheumatic fever.

B. Chickenpox is caused by the varicella-zoster virus and is not directly related to rheumatic fever. While viral infections can trigger or exacerbate rheumatic fever in susceptible individuals, chickenpox itself is not a significant risk factor for rheumatic fever.

C. Fifth disease, also known as erythema infectiosum, is caused by parvovirus B19 and is not associated with rheumatic fever. Fifth disease primarily affects the skin, causing a characteristic rash, and is typically a mild illness in children.

D. Gastritis, inflammation of the stomach lining, is not directly related to rheumatic fever. While some gastrointestinal conditions may be associated with autoimmune disorders, gastritis itself is not a known risk factor for rheumatic fever.

A. Observation for increasing intracranial pressure B. Isolation precautions C. Turn lights on to brighten the room D. Preparation for lumbar puncture E. Apply seizure precautions

Correct Answer is ["A","B","D","E"]

Explanation

A. Observation for increasing intracranial pressure is a critical intervention in the care of a child with infectious meningitis. Meningitis can lead to inflammation of the meninges, which may result in increased pressure within the skull.

B. Isolation precautions may be necessary depending on the causative organism and mode of transmission of the infectious meningitis. Bacterial meningitis, for example, may require droplet precautions to prevent the spread of infection to others.

D. Lumbar puncture (also known as a spinal tap) is a diagnostic procedure often performed to collect cerebrospinal fluid (CSF) for analysis in cases of suspected meningitis. It is an essential intervention in the diagnostic workup of infectious meningitis as it helps identify the causative organism and guide appropriate treatment.

C. Seizure precautions are important for children with infectious meningitis, as meningitis can increase the risk of seizures due to inflammation and irritation of the brain.

C. Bright lights can exacerbate symptoms such as headache and photophobia (sensitivity to light) in patients with meningitis, especially during the acute phase of illness. Therefore, it is not advisable to turn lights on to brighten the room for a child with infectious meningitis.

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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 child who has rheumatic fever. When obtaining the client's medical history from the parent, the nurse should recognize which of the following findings as significant?

Correct Answer is A

Explanation

What intervention(s) would the nurse caring for a child with infectious meningitis include? (Select all that apply.)

Correct Answer is ["A","B","D","E"]

Explanation

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