Meningitis

a child dx with bacterial meningitis has been admitted to the unit. what is the priority nursing action a. protecting self and others from possible infection b. administering iv antibiotics c. reducing environmental sitmuli d. avoiding lifting the clients head

B

during the acute stage of meningitis, a 3yo child is restless and irritable. which intervention would be most appropriate to institute a. limiting conversation with the child b. keeping extraneous noise to a minimum c. allowing the child to play in the bathtub d. performing treatments quickly

B

the nurse is aware that cloudy CSF most likely indicates a. viral meningitis b. bacterial meningitis c. no infection, CSF is usually cloudy d. sepsis

B

when interviewing the parents of a 2yo with hx of which illneses should lead the nurse to supspect pneumococcal meningitis a. bladder infection b. middle ear infection c. fractured clavicle d. septic arthritis

B

Which order would the nurse question for a child just admitted with a diagnosis of bacterial meningitis a. maintain isolation cautions until 24 hours after receiving IV anabiotic's b. IV fluids at one half times regular maintenance c. neurological checks every hour d. administer acetaminophen for Tim's higher than 100.4

B (could cause fluid overload and increased ICP)

The nurse is caring for a six-month-old infant diagnosed with meningitis when the child is placed in the supine position and flexes his neck the nurse notes he flexes his knees and hips this is referred to as a. Brudzinski sign b. cushing triad c. kernig sign d. nuchal rigidity

A

Which are the most common nonlethal complications occuring from meningitis a. cranial nerve deficits b. epilepsy c. bleeidng intracranially d. cerebral palsy

A

a 3mo with meningococcal meningitis has just been admitted to the pediatric unit. which nursing intervention has the highest priority a. instituting droplet precuations b. administering acetaminophen c. obtaining hx information from the parents d. orienting the parents to the peds unit

A

a neonate is admitted to the unit with a diagnosis of bacterial meningitis. on assessment which symptoms would the nurse anticipate a. hypothermia, irritability and poor feeding b. positive babinskis reflex, mottling and pallor c. headache, nuchal rigidity and developmental delays d. positive moros embrace reflex, hyperthermia, and sunken fontanel

A

the CM of acute bacterial meningitis are dependent on which factor a. age of the child b. length of the prodromal period c. time span from bacterial invasion to onset of symptoms d. degree of elevation of CSF glucose comapred to serum glucose level

A

a 6mo infant is being admitted with a dx of bacterial meningitis. what considerations should be made by the nurse regarding the infants room assignment. select all that apply a. the child will need to be on droplet precautions b. the infants parents will not be allowed in the room c. a private room is required d. the room should be near the nurses station e. there must be a window in the door to view the child

A,C,D

the nurse is monitoring an infant with meningitis for signs of increased ICP. the nurse should assess the infant for which signs/symptoms. select all that apply a. irritability b. headache c. mood swings d. bulging fontanelle e. emesis

A,D,E

What should the nurse teach the parent of a child with suspected meningitis a. antibiotics are not initiated until the CSF cultures are definitive for specific T to prevent resistance b. antibiotics are useless to get spiral infection so they are not used for meningitis c. antibiotic should be started before the CSF fluid cultures or definitive culture results take up to three days d. antibiotic initiation is based on the age signs and symptoms of a child not on the causative agent

C

a preschool age child has just been admitted to the peds unit with a diagnosis of bacterial meningitis. what is the nurses priority intervention. a. assess LOC every 12 hours b. monitor temperature every 4 hours c. decrease environmental stimulation d. encourage the parents to hold the child

C

Select the best room assignment for a new lead me the child with bacterial meningitis a. semi private room with a roommate who also has bacterial meningitis b. semi private room with a roommate who has bacterial meningitis but is received IV anabiotic's for more than 24 hours c. private room that is dark and quiet with minimal stimulation d. private room that is bright and colorful and has developmentally appropriate activities available

C (avoid cerebral irritation)

Child is being admitted with a diagnosis of meningitis select the procedure the nurse should do first a. Administration of IV antibiotics b. Administration of maintenance IV fluids c. placement of a Foley catheter d. send the spinal fluid and blood samples to the laboratory for cultures

D

a nurse is teaching the parents of a child dx with meningitis about the childs medicaitons. which statement, by the nurse is most accurate regarding steroid therapy in conjunction with antimicrobial therapy a. its the treatment choice in aseptic meningitis b. its used for the prevention of gastrointestinal hemorrhage c. its used for the management of problems related to bp d. its used for prevention of deafness with haemophilus influenza meningitis

D

after a pathogen compromises the blood brain and blood cerebrospinal fluid barriers, infection will spread to the meninges bc a. the spinal fluid has a rich erythrocyte content b. glucose content of the spinal fluid is elevated c. theres a build up of infectious exudate within the ventricular system d. CSF is devoid of the bodys major defense systems

D

the nurse is aware that antimicrobial therapy, to treat meningitis, should be instituted immediately after a. admission of the nursing unit b. initiation of IV therapy c. identification of the causative organism d. collection of CSF and blood for culture

D