Which interventions would the nurse include in the plan of care for a patient with a diagnosis of bacterial meningitis?

Maintain the patient in a flat, supine position

Restrain the patient in bed.

Reduce the patient's environmental stimuli as much as possible

Increase the patient's fluid intake

Answer and Explanation

The Correct Answer is C

A.   A flat supine position is not recommended for patients with meningitis; they should be kept at a 30- degree angle to reduce ICP.

B.   Restraining the patient is unnecessary unless there is an immediate risk of harm, and it can cause distress.
C.   Reducing environmental stimuli helps minimize discomfort and risk of seizures, especially in meningitis, which causes hypersensitivity to light and sound.
D.   Fluid intake should be monitored carefully. Excessive fluids may increase ICP in a patient with meningitis.

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Correct Answer is A

Explanation

A. Decreasing environmental stimuli can help reduce the risk of seizures and further stress on the patient. This is especially important in cases of meningitis, as the patient may be more sensitive to light, sound, and touch.
B. A vascular assessment is important but not the next immediate action in this scenario.
C. Administering an antipyretic is important but not the priority action right after implementing droplet precautions.
D. Assessing cranial nerves may be necessary later in the assessment but is not the immediate next step.

A. "I won't be able to have drugs instill through this procedure." B. "I will have an internal transducer inserted into my head." C. "The healthcare provider won't be able to get samples of my cerebrospinal fluid." D. "It will directly measure the pressure within the ventricles of my brain."

Correct Answer is D

Explanation

A. A ventriculostomy involves inserting a catheter into the ventricles of the brain to monitor ICP, not a procedure for instilling drugs.
B. A ventriculostomy involves the insertion of a catheter to monitor ICP, not an internal transducer.
C. Cerebrospinal fluid (CSF) samples can be taken via ventriculostomy; the procedure does not prevent this.
D. A ventriculostomy measures the pressure within the brain’s ventricles to monitor intracranial
pressure, which is the correct understanding.

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Which interventions would the nurse include in the plan of care for a patient with a diagnosis of bacterial meningitis?

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

After receiving pre procedural instructions, which patient statement demonstrates an understanding of a scheduled ventriculostomy?

Correct Answer is D

Explanation

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