A nurse is caring for a child who has bacterial meningitis.
Which of the following findings should indicate to the nurse that the child can be removed from droplet precautions?
Antibiotics initiated 24 hr ago
Negative Cerebrospinal fluid culture
Absent nuchal rigidity
Temperature below 37.4 C (99.4F)
The Correct Answer is B
Choice A rationale
Antibiotics initiated 24 hr ago is a positive sign in the context of managing bacterial meningitis, but it alone does not determine when droplet precautions can be discontinued.
Choice B rationale
This is the correct answer. A negative cerebrospinal fluid (CSF) culture indicates that the bacterial infection has been effectively treated.
Choice C rationale
Absent nuchal rigidity is a positive sign in the context of managing bacterial meningitis, but it alone does not determine when droplet precautions can be discontinued.
Choice D rationale
Temperature below 37.4 C (99.4F) is a positive sign in the context of managing bacterial meningitis, but it alone does not determine when droplet precautions can be discontinued.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D"]
Explanation
Choice A rationale
Providing a pacifier coated with an oral sucrose prior to injections can help reduce the infant’s pain response. The sweetness of the sucrose can distract the infant and provide some comfort.
Choice B rationale
Injecting the immunizations into the deltoid muscle is not recommended for infants. The deltoid muscle is not usually used until children are older and have more muscle mass.
Choice C rationale
Using a 20-gauge needle for injections is not typically recommended for infants. Smaller gauge needles are usually used to minimize discomfort.
Choice D rationale
Applying a eutectic mixture of local anesthetics cream immediately before the injections can help numb the skin and reduce pain. This can make the injection process less distressing for the infant.
Correct Answer is ["A","B"]
Explanation
Choice A rationale
Placing gates at the top and bottom of stairs is an important safety measure for infants. This can prevent falls, which are a common cause of injury in this age group.
Choice B rationale
Ensuring the crib mattress is in the lowest position is another important safety measure. As infants grow and begin to sit, stand, and climb, a high mattress position can increase the risk of falls.
Choice C rationale
Removing labels from containers that contain toxic substances is not recommended. It’s important to keep these substances out of reach of children, and the labels provide important information about the contents and potential hazards.
Choice D rationale
Keeping toilet lids in the upright position is not recommended. Infants can be curious and may try to explore or play with water in the toilet, which can lead to accidents or injuries.
Choice E rationale
Selecting a toy chest that has a heavy, hinged lid is not recommended. This could pose a risk of injury if the lid were to close unexpectedly, and small fingers could get caught.
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