A nurse is planning care for a client who has bacterial meningitis. Which of the following interventions should the nurse implement?

Ensure the client's bed is positioned to greater than 45°.

Initiate airborne precautions.

Ensure lights are dimmed in the client's room.

Encourage frequent ambulation.

Answer and Explanation

The Correct Answer is C

A.   The head of the bed should be elevated to 30 degrees to reduce intracranial pressure.
B.   Bacterial meningitis is transmitted through hematogenous route and airborne precautions are not always necessary.
C.   Clients with meningitis may be sensitive to light, dimming the lights should be implemented to increase comfort by reducing stimuli.
D.   Encourage frequent ambulation is not appropriate for bacterial

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Correct Answer is D

Explanation

Albumin is a protein that plays a crucial role in maintaining skin health. Low albumin levels (hypoalbuminemia) can lead to poor wound healing and skin vulnerability.

Hemoglobin level, white cell count and 25-hydroxyvitamin have no direct role in skin breakdown.

A. Neurovascular assessment B. Pain assessment C. Braden scale D. Morse Fall Risk scale

Correct Answer is A

Explanation

A. Neurovascular assessment should be the nurse's priority assessment. Postoperative patients, especially those who have undergone orthopedic surgery such as ORIF of the femur, are at risk for neurovascular compromise due to factors such as positioning during surgery, edema, and postoperative pain.
B. Pain assessment is important for overall patient comfort and well-being, but in the immediate postoperative period following ORIF of the femur, neurovascular assessment takes priority.
C. The Braden scale is used to assess a patient's risk for pressure ulcers. While pressure ulcer risk assessment is important for overall patient care, it is not the priority assessment for a patient who is postoperative following ORIF of the femur.
D. The Morse Fall Risk scale is used to assess a patient's risk for falls. While fall risk assessment is important for patient safety, it is not the priority assessment for a patient who is postoperative following ORIF of the femur.

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A nurse is planning care for a client who has bacterial meningitis. Which of the following interventions should the nurse implement?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a female client who had a stroke. Which of the following findings should indicate to the nurse that the client has an increased risk of developing skin breakdown?

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A nurse is assessing a client who is postoperative following an open reduction and internal fixation (ORIF) of the femur. Which of the following assessment should be the nurse's priority?

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