A nurse is caring fro a client who has suspected meningitis and a decreased level of
consciousness which of the following actions should the nurse take
a. place the client on NPO status
b. prepare the client for a liver biopsy
c. position the client dorsal recumbent
d. put the client in a protective environment - ANS a. place the client on NPO status
a nurse is reviewing cerebrospinal fluid analysis for a client who has suspected
meningitis which of the following findings should the nurse identify as indicating viral
meningitis (SATA)
a. negative gram stain
b. normal glucose content
c. cloudy color
d. decreased WBC count
e. normal protein content - ANS a. negative gram stain
b. normal glucose content
e. normal protein content
a nurse is assessing a 4 mo old infant who has meningitis which of the following
manifestations should the nurse expect
a. depressed anterior fontanel
b. constipation
c. presence of rooting reflex
d. high pitched cry - ANS d. high pitched cry
a nurse is reviewing the medical record of a client with reye syndrome which of the
following finding should the nurse identify as a risk factor for reye syndrome
a. recent hx of infectious cystitis caused by candida
b. recent hx of bacterial otitis media
c. recent episode of gastroenteritis
d. recent episode of haemophilus influenzae meningitis - ANS c. recent episode of
gastroenteritis
a nurse is developing an educational program about viral and bacterial meningitis the
nurse should include that the introduction of which of the following immunizations
decreased the incidence of the bacterial meningitis in children (SATA)
, a. IPV
b. PCV
c. DTap
d. Hib
e. TIV - ANS b. PCV
d. Hib
a nurse is caring for a child who has absence seizures which of the following findings
should the nurse expect (SATA)
a. loss of consciousness
b. appearance of daydreaming
c. dropping held objects
d. faling to the floor
e. having a piercing cry - ANS a. loss of consciousness
b. appearance of daydreaming
c. dropping held objects
a nurse is caring for a child who just experienced a generalized seizure which of the
following is the priority action for the nurse to take
a. position the child in a side lying position
b. try to determine the seizure trigger
c. reorient the child to the environment
d. note the time of the postictal period - ANS a. position the child in a side lying position
a nurse is providing teaching to the guardianof a child who is to have an EEG which of
the following statements by a guardian indicates the teachign was effective
a. my child should remain quiet and still during this procedure
b. I cannot wash my childs hair prior to the procedure
c. I should not give my child anything to eat prior to the procedure
d. this procedure will be very painful for my child - ANS a. my child should remain quiet
and still during this procedure
a nurse is teaching a group of caregivers about the risk factors for seizures which of the
following factors should the nurse include in the teaching (SATA)
a. febrile episode
b. hypoglycemia
c. sodium imbalances
d. low blood lead levels
e. presence of diptheria - ANS a. febrile episode
b. hypoglycemia
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