A nurse manager is teaching a group of nurses about bacterial meningitis. Which of the following information should the nurse include in the teaching?
"Bacterial meningitis can be prevented with immunization”
"Bacterial meningitis is an infection that causes inflammation of the sinus cavity."
"Bacterial meningitis is spread by contaminated food or water; therefore, infection is unlikely”
"Bacterial meningitis rarely occurs in young adults unless their immune system is suppressed."
The Correct Answer is A
A. "Bacterial meningitis can be prevented with immunization": Vaccines such as the meningococcal, pneumococcal, and Haemophilus influenzae type b (Hib) vaccines significantly reduce the risk of bacterial meningitis. Immunization is a primary preventive measure, especially for high-risk populations, including children, adolescents, and certain adults.
B. "Bacterial meningitis is an infection that causes inflammation of the sinus cavity.": Bacterial meningitis causes inflammation of the meninges, which are the protective membranes covering the brain and spinal cord, not the sinuses. Confusing the site of infection can lead to inappropriate assessment and treatment.
C. "Bacterial meningitis is spread by contaminated food or water; therefore, infection is unlikely": This statement is incorrect because bacterial meningitis is typically spread through respiratory droplets, close contact, or asymptomatic carriers, not through food or water.
D. "Bacterial meningitis rarely occurs in young adults unless their immune system is suppressed.": Young adults, particularly those in communal settings like college dorms or military barracks, are at increased risk regardless of immune status. Immunocompetent individuals can still acquire bacterial meningitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1"]
Explanation
Calculation:
- Identify the ordered dose and available concentration
Ordered Dose: 50 mcg
Available Concentration: 100 mcg/2 mL
- Calculate the volume to administer
Volume to administer = (Ordered Dose ÷ Concentration) × Volume of Concentration
Volume to administer = (50 ÷ 100) × 2
Volume to administer = 0.5 × 2
Volume to administer = 1 mL
Correct Answer is ["A","B","E","G"]
Explanation
A. Obtain a brain natriuretic peptide (BNP) test: BNP is a marker of heart failure and is indicated given the client’s new-onset dyspnea, crackles, and S3/S4 heart sounds. Measuring BNP helps assess for possible acute decompensated heart failure following surgery.
B. Obtain a complete blood count: A CBC helps identify infection, anemia, or other hematologic changes that could contribute to dyspnea, tachypnea, or hypoxia in the postoperative client. The client’s fever and tachycardia warrant this assessment.
C. Request respiratory therapy for intubation: Intubation is not immediately indicated as the client is still alert, maintaining oxygen saturation of 92% on supplemental oxygen. Less invasive diagnostics and interventions are prioritized first.
D. Obtain a STAT MRI: MRI is not the first-line diagnostic tool for acute dyspnea and postoperative cardiopulmonary assessment. It is not indicated in emergent evaluation of pulmonary or cardiac complications.
E. Obtain ABGs: Arterial blood gases are important to assess oxygenation, ventilation, and acid-base status given the client’s tachypnea, hypoxemia, and sudden respiratory distress.
F. Prepare the client for cardiac catheterization: Cardiac catheterization is invasive and not the immediate priority. Initial noninvasive assessment should guide the need for further intervention.
G. Obtain a chest x-ray: A chest x-ray is indicated to assess for pulmonary edema, pleural effusion, or other cardiopulmonary complications in a postoperative client presenting with dyspnea, crackles, and hypoxia.
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