A nurse is triaging a child who has suspected bacterial meningitis. The nurse recognizes which of the following as the initial action?

Initiate isolation protocols.

Administer IV antibiotics.

Prepare for a lumbar puncture.

Obtain blood cultures.

Answer and Explanation

The Correct Answer is A

A.   Bacterial meningitis is highly contagious, and isolation precautions are necessary to prevent the spread of the infection to others. This should be the nurse's first action to protect both the child and others.
B.   While antibiotics are crucial in treating bacterial meningitis, initiating isolation protocols is the first priority to prevent transmission to others.
C.   A lumbar puncture is needed to confirm the diagnosis of meningitis, but isolation protocols should be established first to prevent spread.
D.   Blood cultures are important for diagnosing bacterial meningitis but are secondary to ensuring proper isolation to prevent contagion.

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Correct Answer is A

Explanation

A. Wilms' tumor is a kidney tumor, and the child should not have blood pressure measured or venipuncture done on the affected side to avoid any potential injury to the kidney.
B. This is important in care but is not the primary immediate precaution. The main focus is to avoid injury to the affected kidney.
C. While urine collection is important for monitoring kidney function, it is not a warning sign for Wilms' tumor.
D. This may be necessary later in the treatment but is not a primary concern for the initial care of a child with Wilms' tumor.

A. Integumentary B. Cardiovascular C. Gastrointestinal D. Respiratory

Correct Answer is B

Explanation

A. The integumentary system may be involved in Kawasaki disease with skin changes, but the cardiovascular system is the most important system to monitor due to the risk of coronary artery aneurysms.
B. Cardiovascular is correct. Kawasaki disease can lead to coronary artery aneurysms, myocarditis, and other cardiovascular complications.
C. The gastrointestinal system is less involved but can show symptoms like abdominal pain, diarrhea, or vomiting.
D. Respiratory involvement is not a primary concern in Kawasaki disease, although respiratory symptoms like cough may occur.

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A nurse is triaging a child who has suspected bacterial meningitis. The nurse recognizes which of the following as the initial action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a child with a suspected diagnosis of Wilm's tumor. The nurse should place a sign with which of the following warnings about this child?

Correct Answer is A

Explanation

A nurse is caring for a child who has Kawasaki disease. Which of the following systems should the nurse monitor in response to this diagnosis?

Correct Answer is B

Explanation

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