A nurse is planning care for a 6-year-old child who has bacterial meningitis. Which of the following nursing interventions is unnecessary in the client's plan of care?
Measure head circumference every shift
Admit the client to a private room
Place the client in a semi-Fowler's position
Implement seizure precautions
The Correct Answer is A
A. While monitoring for increased intracranial pressure is important, measuring head circumference every shift may not be necessary unless there is a specific indication or change in the child's condition.
B. Admitting the child to a private room is necessary to reduce the risk of spreading the infection to others.
C. Placing the child in a semi-Fowler's position can help reduce intracranial pressure and promote comfort.
D. Implementing seizure precautions is important, as children with bacterial meningitis are at risk for seizures.
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Related Questions
Correct Answer is C
Explanation
A. Grapes pose a choking hazard for young children due to their size and shape.
B. Raw carrots also present a choking risk for young children and are less suitable for a 2-year- old.
C. Bananas are soft, easily chewable, and less likely to cause choking. They are a safe food choice for a 2-year-old.
D. Celery, when not cut into small, age-appropriate pieces, can be a choking hazard. It is less suitable for a 2-year-old.
Correct Answer is B
Explanation
A. Water alone may not provide the necessary electrolytes and sugars to help rehydrate the child effectively.
B. Oral rehydration solution is specifically designed to replace fluids and electrolytes lost during episodes of diarrhea or vomiting. It is the recommended choice for managing dehydration due to acute gastroenteritis.
C. Broth may provide some fluid but lacks the optimal balance of electrolytes and sugars found in oral rehydration solutions.
D. Diluted apple juice may not be as effective as an oral rehydration solution in replacing electrolytes and preventing dehydration.
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