A nurse is preparing to admit a client who has bacterial meningitis. Which of the following items should the

nurse place in the client's room?

Oral irrigating device

Seizure pads

Sterile gloves

Tongue blade

Answer and Explanation

The Correct Answer is B

b. Seizure pads

Explanation:

The nurse should place seizure pads in the client's room when admitting a client with bacterial meningitis. Bacterial meningitis is an infection that aﬀects the meninges, the protective membranes covering the brain and spinal cord. It can cause inﬂammation and swelling of the brain, leading to an increased risk of seizures.

Seizure pads are specifically designed to provide a cushioning and protective barrier between the client's head and the hard surface, reducing the risk of injury during a seizure. They are placed on the bed or matress to help prevent head trauma or other injuries that may occur if a seizure occurs.

Now, let's discuss why the other options are not necessary for the client with bacterial meningitis:

a. Oral irrigating device:

An oral irrigating device is not necessary for a client with bacterial meningitis. Bacterial meningitis primarily aﬀects the central nervous system and does not require oral care interventions. The focus of care for these clients is on managing the infection, monitoring vital signs, and providing supportive care.

c. Sterile gloves:

While sterile gloves are commonly used in healthcare settings, they are not specifically required for the care of a client with bacterial meningitis. Standard precautions, including the use of non-sterile gloves, are sufficient for providing care to these clients. Sterile gloves are typically used for invasive procedures or when there is a need to maintain a sterile field.

d. Tongue blade:

A tongue blade is not necessary for the care of a client with bacterial meningitis. Tongue blades are typically used for oral assessments or when examining the throat, which are not directly related to the management or treatment of bacterial meningitis. The focus of care for these clients is on infection control, monitoring for complications, and providing comfort and support.

In summary, when admitting a client with bacterial meningitis, the nurse should prioritize placing seizure pads in the client's room to ensure their safety during potential seizure activity.

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Correct Answer is C

Explanation

Answer: C. Weigh the client each morning after voiding

Rationale:

A. Encourage the client to gain 2.3 kg (5 lb) per week:
A weight gain goal of 0.5 to 1 kg (1 to 2 lb) per week is considered safe and realistic. Gaining 2.3 kg (5 lb) weekly is too aggressive and may cause physical and psychological stress for the client.

B. Monitor the client for 15 min after meals:
Clients with anorexia nervosa are at risk for purging behaviors. Monitoring for only 15 minutes is insufficient. A 60-minute post-meal observation period is more appropriate to deter vomiting or excessive exercise.

C. Weigh the client each morning after voiding:
Daily weights, taken at the same time each morning after voiding and before eating, provide consistent and accurate data to monitor progress and detect manipulation or fluid shifts.

D. Reinforce teaching about healthy eating during meals:
Reinforcing education during meals can increase the client’s anxiety and resistance to eating. Teaching is best done separately from mealtimes to avoid associating eating with stress.

A. Aﬀected extremity warm to touch B. Moderate pain on the ankle of the aﬀected extremity C. Blanch time of 2 seconds in the toenail beds of the aﬀected extremity D. Palpation of a +1 dorsal pedal pulse of the aﬀected extremity

Correct Answer is B

Explanation

A nurse collecting data on a client who has swelling of the lower leg should identify that moderate pain on the ankle of the aﬀected extremity is a manifestation of compartment syndrome. Compartment syndrome is a painful condition that occurs when pressure within a muscle compartment increases to dangerous levels.

The other options are not typical symptoms of compartment syndrome.

a) An aﬀected extremity being warm to touchis not a typical symptom of compartment syndrome.

c) A blanch time of 2 seconds in the toenail beds of the aﬀected extremity is not a typical symptom of compartment syndrome.

d) Palpation of a +1 dorsal pedal pulse of the aﬀected extremity is not a typical symptom of

compartment syndrome.

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A nurse is preparing to admit a client who has bacterial meningitis. Which of the following items should the nurse place in the client's room?

Nursing Test Bank

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A nurse is preparing to admit a client who has bacterial meningitis. Which of the following items should the

nurse place in the client's room?