A nurse is planning care for a 6-month-old infant who has bacterial meningitis. Which of the following interventions should the nurse include in the plan of care?

Keep the television on in the room to provide background noise.

Provide frequent range of motion to the neck and shoulders.

Pad the side rails of the crib.

Place the infant in a semiprivate room.

Answer and Explanation

The Correct Answer is C

Pad the side rails of the crib.

Padding the side rails of the crib can help prevent injury if the infant experiences seizures, which can be a symptom of bacterial meningitis.

Choice A is wrong because infants with bacterial meningitis may be sensitive to noise and light, so keeping the television on may not be appropriate.

Choice B is wrong because range of motion exercises to the neck and shoulders may not be appropriate for an infant with bacterial meningitis.

Choice D is wrong because placing the infant in a semiprivate room may increase the risk of infection 1.

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Correct Answer is D

Explanation

The nurse should prepare the toddler for nasotracheal intubation first because the toddler is experiencing severe dyspnea and drooling, which are signs of airway obstruction.

Nasotracheal intubation will help to secure the toddler’s airway and improve their breathing.

Choice A is wrong because administering an antibiotic is not the priority intervention for a toddler with airway obstruction.

Choice B is wrong because obtaining a blood culture is not the priority intervention for a toddler with airway obstruction.

Choice C is wrong because inserting an IV catheter is not the priority intervention for a toddler with airway obstruction.

A. "A nurse will insert an IV prior to the test.” B. "We will measure the amount of protein in your baby's urine over a 24 hour period.” C. "The test will measure the amount of chloride in your baby's sweat.” D. "Your baby will need to fast for 8 hours prior to the test.”

Correct Answer is C

Explanation

Pilocarpine iontophoresis is a test used to diagnose cystic fibrosis by measuring the amount of chloride in a person’s sweat.

Choice A is wrong because an IV is not necessary for this test.

Choice B is wrong because the test measures chloride in sweat, not protein in urine.

Choice D is wrong because fasting is not required for this test.

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A nurse is planning care for a 6-month-old infant who has bacterial meningitis. Which of the following interventions should the nurse include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in the emergency department is assessing a toddler who has hyperpyrexia, severe dyspnea, and is drooling. Which of the following actions should the nurse take first?

Correct Answer is D

Explanation

A nurse is providing teaching to the parents of an infant who is to undergo pilocarpine iontophoresis testing for cystic fibrosis. Which of the following statements should the nurse include in the teaching?

Correct Answer is C

Explanation

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