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.
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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Related Questions
Correct Answer is D
Explanation
A. Incorrect because the bag should only cover the urethral opening. Covering the anus risks contamination of the urine sample.
B.Incorrect because placing a diaper over the bag can dislodge it or prevent proper adhesion. Instead, the bag should remain exposed to adhere well.
C.Incorrect because lidocaine is unnecessary; applying topical anesthetic is not required for urine collection with a bag.
D. When collecting a urine specimen from a female infant using a urine collection bag, the nurse should ensure the perineal area is clean and the skin is dry. Stretching the perineum taut helps the bag adhere properly to the skin around the urethral opening, preventing leaks and contamination of the specimen.
Correct Answer is B
Explanation
This is because oxygen saturation below 90% indicates that the infant is not getting enough oxygen and central cyanosis (bluish color of the skin due to lack of oxygen) is a sign of severe respiratory distress.
Both of these findings require immediate medical attention.
Choice A is wrong because cough or difficulty in breathing, while concerning, may not require immediate reporting to the provider as they are common symptoms of RSV infection.
Choice C is wrong because severe respiratory distress (e.g grunting, very severe chest indrawing), while concerning, may not require immediate reporting to the provider as they are common symptoms of RSV infection.
Choice D is wrong because signs of pneumonia with a general danger, while concerning, may not require immediate reporting to the provider as they are common symptoms of RSV infection.
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