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 B

Explanation

B. Seizures can result in sudden and uncontrollable movements, which may increase the risk of injury if the client strikes against the side rails of the bed during a seizure episode. Padding the upper two side rails helps minimize the risk of injury by providing a softer surface.
A. Maintaining peripheral IV access ensures that these medications can be administered promptly. However, other routes such as rectal can also be used therefore not a priority
C. Assisting personnel should not be trained in the proper application of restraints as it is not within the scope of their practice.
D. Introduction of objects during a seizure is not recommended as it increases the risk of injury.

A. Stool for occult blood B. Fasting blood glucose C. Serum calcium D. Urine for white blood cells

Correct Answer is A

Explanation

A. Monitoring for occult blood in the stool is essential because long-term use of nonsteroidal anti- inflammatory drugs (NSAIDs) like ibuprofen can increase the risk of gastrointestinal bleeding and ulceration. Occult blood in the stool may indicate gastrointestinal bleeding, which can be a serious complication of chronic NSAID use.
B. While NSAIDs like ibuprofen can affect renal function and increase the risk of kidney damage, they are not directly associated with alterations in blood glucose levels.
C. Ibuprofen use is not typically associated with alterations in serum calcium levels
D. While monitoring urine for white blood cells may be relevant in the context of renal injury, it is not as specific or sensitive as other tests such as urinalysis or renal function tests.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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