Neurological Disorders Q 69 - Gyan Darpan : Learning Portal
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Monday 18 April 2022

Neurological Disorders Q 69

A nurse is planning care for a child with acute bacterial meningitis. Based on the mode of transmission of this infection, which of the following would be included in the plan of care?
     A. No precautions are required as long as antibiotics have been started.
     B. Maintain enteric precautions.
     C. Maintain respiratory isolation precautions for at least 24 hours after the initiation of antibiotics.
     D. Maintain neutropenic precautions.

Correct Answer: C. Maintain respiratory isolation precautions for at least 24 hours after the initiation of antibiotics

A major priority of nursing care for a child suspected of having meningitis is to administer the prescribed antibiotic as soon as it is ordered. The child is also placed on respiratory isolation for at least 24 hours while culture results are obtained and the antibiotic is having an effect. Antibiotics are given to treat the underlying causes of inflammation and thus prevent the occurrence of seizure activity.

Option A: Assess neurologic status to include VS pattern, changes in consciousness, behavior patterns and pupillary/ocular responses appropriate for age (measure head circumference in infant) (specify when). Administer antibiotics as prescribed (specify) as soon as ordered based on analysis of CSF, throat cultures.
Option B: Enteric precautions are taken to prevent infections that are transmitted primarily by direct or indirect contact with fecal material. They’re indicated for patients with known or suspected infectious diarrhea or gastroenteritis. Clostridium difficile is the most common cause of hospital-acquired infectious diarrhea.
Option D: Neutropenic precautions are steps one can take to prevent infections if they have moderate to severe neutropenia. Neutropenia is a condition that causes the client to have low neutrophils in the blood. Neutrophils are a type of white blood cell that helps the body fight infection and bacteria. Ask a healthcare provider for more information on neutropenia.

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