. A nurse is caring for a child who has been diagnosed with bacterial meningitis. Which of the following should the nurse monitor in the child? (Select All that Apply.)

Manifestations that could indicate a sepsis infection

Long-term effects that result from a prolonged recovery

Blood pressure that could indicate hypertension

Heart problems that result from cardiac dysfunction

A decrease in body temperature as a sign of bacterial meningitis progression

Answer and Explanation

Correct Answer : A,B,C

A. Manifestations that could indicate a sepsis infection should be monitored closely as bacterial meningitis can lead to septicemia. Signs such as low blood pressure, rapid heart rate, and poor perfusion need immediate attention.

B. Long-term effects that result from a prolonged recovery should be considered. Children recovering from bacterial meningitis may develop complications such as hearing loss, cognitive delays, or motor impairments, requiring long-term follow-up.

C. Blood pressure that could indicate hypertension should be monitored, as increased intracranial pressure (ICP) from meningitis may lead to systemic hypertension, an important parameter to manage during acute illness.

D. Heart problems that result from cardiac dysfunction are not commonly associated with bacterial meningitis itself. However, indirect complications such as septic shock could affect cardiac function, although this is less direct.

E. A decrease in body temperature as a sign of bacterial meningitis progression is incorrect. Hypothermia is not typically a sign of meningitis progression. Fever is a more common manifestation of bacterial meningitis and should be monitored instead.

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Correct Answer is D

Explanation

A. Crushing iron supplements and mixing them with applesauce may make the medication easier to take, but it does not directly improve absorption. In fact, crushing tablets could alter the formulation and absorption, especially if the iron supplement is enteric-coated.

B. Administering iron with a glass of milk can actually inhibit absorption because calcium, which is found in milk, can interfere with the absorption of iron.

C. While tarry green stools are a common side effect of iron supplements, this is not a reason to discontinue the medication unless instructed by the healthcare provider.

D. This is the correct answer. Vitamin C enhances the absorption of iron. Administering the supplement with a vitamin C-rich drink, such as orange juice, helps maximize iron absorption from the gastrointestinal tract.

A. Laxatives B. Thyroid replacement medications C. Diuretics D. Pain medications

Correct Answer is D

Explanation

A. Laxatives are not typically used for sickle cell crisis unless the client is experiencing constipation, which is unrelated to the crisis itself.

B. Thyroid replacement medications are used for hypothyroidism and would not be a first-line treatment for sickle cell crisis.

C. Diuretics may be used in conditions like heart failure or kidney disease, but they are not indicated for sickle cell crisis and may worsen dehydration.

D. Pain medications are the correct intervention during a sickle cell crisis. The crisis involves severe pain due to the sickling of red blood cells blocking blood flow to tissues. Opioids like morphine and hydromorphone are commonly administered to manage the severe pain.

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. A nurse is caring for a child who has been diagnosed with bacterial meningitis. Which of the following should the nurse monitor in the child? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When administering oral iron supplements to a client with anemia, which nursing action is most important to ensure optimal absorption of the medication?

Correct Answer is D

Explanation

A nurse is caring for a client who presents to the emergency room in sickle cell crisis. Which of the following medications should the nurse anticipate administering?

Correct Answer is D

Explanation

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