Meningitis (L) Flashcards
A 42-year-old patient who has bacterial meningitis is disoriented and anxious. Which nursing action will be included in the plan of care?
a. Encourage family member to remain at the bedside.
b. Apply soft restraints to protect the patient from injury
c. Keep the room well-lighted to improve patient orientation.
d. Minimize contact with the patient to decrease sensory input.
a. Encourage family member to remain at the bedside.
The public health nurse is planning a program to decrease the incidence of meningitis in adolescents and young adults. Which action is most important?
a. Encourage adolescents and young adults to avoid crowds in the winter.
b. Vaccinate 11- and 120year-old children against Haemophilus influenza.
c. Immunize adolescents and college freshman against Neisseria meningitides.
d. Emphasize the importance of hand washing to prevent the spread of infection.
c. Immunize adolescents and college freshman against Neisseria meningitides.
A patient has been admitted with meningococcal meningitis. Which observation by the nurse requires action?
a. The bedrails at the head and foot of the bed are both elevated.
b. The patient receives a regular diet from the dietary department.
c. The lights in the patients room are turned off and the blinds are shut.
d. Unlicensed assistive personnel enter the patients room without a mask.
d. Unlicensed assistive personnel enter the patients room without a mask.
When assessing a 53-year-old patient with bacterial meningitis, the nurse obtains the following data. Which finding should be reported immediately to the health care provider?
a. The patient exhibits nuchal rigidity.
b. The patient has a positive Kernigs sign.
c. The patients temperature is 101 F (38.3 C).
d. The patients blood pressure is 88/42 mm Hg.
d. The patients blood pressure is 88/42 mm Hg.
Which patient is most appropriate for the intensive care unit (ICU) charge nurse to assign to a registered nurse (RN) who has floated from the medical unit?
a. A 45-year-old receiving IV antibiotics for meningococcal meningitis.
b. A 25-year-old admitted with a skull fracture and craniotomy the previous day
c. A 55-year-old who has increased intracranial pressure (ICP) and is receiving hyperventilation therapy
d. A 35-year-old with ICP monitoring after a head injury last week
a. A 45-year-old receiving IV antibiotics for meningococcal meningitis.
The nurse is caring for a patient who was admitted the previous day with a basilar skull fracture after a motor vehicle crash. Which assessment finding is most important to report to the health care provider?
a. Complaint of severe headache
b. Large contusion behind left ear
c. Bilateral periorbital ecchymosis
d. Temperature of 101.4 F (38.6 C)
d. Temperature of 101.4 F (38.6 C)
