The mother of a 1-month-old infant tells the nurse she worries that her baby will get meningitis like the child's older brother had when he was an infant. The nurse should base her response on which of the following?
Vaccinations to prevent pneumococcal and Haemophilus influenzae type B meningitis are available.
Often a genetic predisposition to meningitis is found.
Meningitis rarely occurs during infancy
Vaccination to prevent all types of meningitis is now available
The Correct Answer is A
A) Vaccinations to prevent pneumococcal and Haemophilus influenzae type B meningitis are available.
Explanation: This statement is true. Vaccinations to prevent certain types of bacterial meningitis are available. Pneumococcal and Haemophilus influenzae type B (Hib) vaccines are included in routine childhood immunization schedules to protect against the bacteria that can cause meningitis and other serious infections. These vaccines have significantly reduced the incidence of bacterial meningitis in infants and children.
B) Often a genetic predisposition to meningitis is found.
Explanation: This statement is generally false. While there may be some genetic factors that influence susceptibility to infections, including meningitis, genetic predisposition is not a primary consideration when discussing the risk of meningitis. Meningitis is more commonly caused by bacterial or viral infections, and genetic predisposition is not a significant factor in its occurrence.
C) Meningitis rarely occurs during infancy.
Explanation: This statement is false. Meningitis can occur in infants, including newborns. In fact, infants are one of the age groups at higher risk for meningitis due to their underdeveloped immune systems and susceptibility to infections. Bacterial meningitis, in particular, can be severe and life-threatening in infants.
D) Vaccination to prevent all types of meningitis is now available.
Explanation: This statement is not entirely accurate. While vaccinations are available to prevent certain types of bacterial meningitis (such as pneumococcal and Hib meningitis), there is no single vaccine that can prevent all types of meningitis. Meningitis can be caused by various bacteria, viruses, and other pathogens, and the vaccines target specific ones. It's important for caregivers to ensure that their infants receive recommended vaccines to protect against the most common causes of meningitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Position the child laterally
Explanation: When a child is experiencing a seizure, it's important to ensure their safety and prevent injury. Positioning the child laterally, also known as the recovery position, helps keep the airway clear and allows any fluids to drain from the mouth, reducing the risk of aspiration. It also helps prevent the child from choking on saliva or vomit.
The other options are not appropriate actions during a seizure:
B. Using a padded tongue blade is not recommended during a seizure. Placing objects in the mouth during a seizure can lead to injury, including damage to the teeth, jaw, or airway.
C. Attempting to stop the seizure is not within the nurse's control. Seizures are caused by abnormal electrical activity in the brain and should not be interrupted forcefully. Instead, the focus should be on ensuring the child's safety and managing the situation until the seizure stops on its own.
D. Restraining the child's arms is not advisable during a seizure. Restraining can cause harm and increase the risk of injury to the child or others involved. It's important to allow the seizure to run its course while protecting the child from harm.
Correct Answer is D
Explanation
A. Using a suppository for bowel movement is a common approach for managing bowel function in people with paralysis and is appropriate.
B. Carrying a water bottle to stay hydrated is important, especially since individuals with paralysis may be at increased risk of urinary tract infections. Adequate hydration is beneficial.
C. Doing wheelchair exercises while watching TV is a proactive way to maintain muscle tone and overall health, which is crucial for individuals with paralysis.
D. "I only need to catheterize myself twice every day!"
Explanation: In the context of spina bifida and paralysis from the waist down, catheterization is often required for bladder management. Individuals with this condition often experience urinary retention and require intermittent catheterization to empty their bladder. However, "twice every day" is not usually sufficient for someone with paraplegia. Adequate catheterization frequency is crucial to prevent urinary retention, infections, and other complications.
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