A nurse is providing teaching about the administration of gastrostomy tube feedings to the parents of an infant. Which of the following instructions should the nurse include?

Rationale:
A. Call in additional medical-surgical unit nursing care staff: Calling in staff may be part of the overall disaster plan but is typically coordinated by administration or the incident command team, not by individual unit nurses.

B. Act as a liaison between the facility and the media: Communication with the media is the responsibility of the facility’s public information officer or designated spokesperson, not bedside nurses.

C. Determine the medical needs of incoming clients through the emergency department: Triage and assessment of incoming clients occur in the emergency department by the triage nurse or emergency staff, not on the medical-surgical unit.

D. Recommend to the provider specific acute care clients for discharge: In a mass casualty event, medical-surgical nurses help identify stable clients who can be safely discharged or transferred to make room for incoming critical clients. This is an essential role in surge capacity management.

Rationale:
A. Perform range-of-motion exercises once per shift: While ROM exercises help maintain joint mobility, they are not a priority in the acute management of bacterial meningitis. The immediate focus is on preventing complications such as seizures and managing neurological status.

B. Place the client in high-Fowler's position: Although elevated head positioning can reduce intracranial pressure slightly, there is no strict requirement for high-Fowler’s positioning in bacterial meningitis. Comfort and safety are more important, with frequent neurological monitoring.

C. Implement seizure precautions: Bacterial meningitis increases the risk of seizures due to inflammation and increased intracranial pressure. Implementing seizure precautions—such as padding side rails, having suction available, and ensuring rapid access to emergency equipment—is a key safety measure.

D. Monitor the client for hypoglycemia: Hypoglycemia is not typically a complication of bacterial meningitis. Instead, monitoring focuses on neurological status, vital signs, fluid balance, and signs of increased intracranial pressure.