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 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.

A. Avoiding any oral feedings for the first 24 hours to prevent aspiration B. Applying direct pressure to the surgical site if bleeding occurs. C. Frequent diaper changes and keeping the incision site clean and dry D. Allowing the infant to lie flat on their back to promote spinal alignment

Correct Answer is C

Explanation

A. Avoiding oral feedings may not be necessary unless there are specific complications. The focus should be on preventing aspiration, but not necessarily withholding feedings.
B. Direct pressure should not be applied to the surgical site unless directed by a provider, as this could cause further complications.
C. Frequent diaper changes and keeping the incision site clean and dry is essential to prevent infection and protect the surgical site.
D. The infant should be positioned according to the provider's orders to avoid pressure on the surgical site and spinal cord, but lying flat may not always be necessary.

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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

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Correct Answer is B

Explanation

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Correct Answer is C

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