Nokea
The nurse is caring for a client admitted to the hospital with a tentative diagnosis of bacterial meningitis. Which diagnostic procedure should the nurse prepare the client for the healthcare provider?
- A. Lumbar puncture.
- B. Skull radiography.
- C. Magnetic resonance imaging (MRI).
- D. Computerized tomography (CT) scan.
Correct Answer: A
Rationale: A lumbar puncture is the primary diagnostic procedure for bacterial meningitis, allowing analysis of cerebrospinal fluid for bacterial presence and characteristics.
You may also like to solve these questions
The nurse is assessing a patient's understanding of the DASH (Dietary Approaches to Stop Hypertension) diet. Which patient behavior suggests adherence to this diet?
- A. The patient exclusively consumes lactose-free dairy products.
- B. The patient meticulously cleans and peels all fresh fruits and vegetables.
- C. The patient enjoys fat-free yogurt as an occasional snack.
- D. The patient has eliminated grains from their diet.
Correct Answer: C
Rationale: Consuming fat-free yogurt aligns with the DASH diet's emphasis on low-fat dairy, supporting blood pressure control.
Following a transurethral resection of the prostate (TURP), a patient is discharged from the hospital with an indwelling urinary catheter. Which instruction is most important for the nurse to include in the discharge teaching plan?
- A. Eliminate all spicy foods from your diet
- B. Drink 3 liters of water each day
- C. Clamp the catheter when taking a shower
- D. Avoid driving a car for 2 weeks
Correct Answer: B
Rationale: Drinking 3 liters of water daily flushes the bladder, reducing infection risk post-TURP.
A patient with small cell carcinoma of the lung is admitted with syndrome of inappropriate antidiuretic hormone (SIADH). The patient's serum sodium level increases from 120 mEq/L to 125 mEq/L as they respond to treatment. Based on this finding, what intervention should the nurse implement?
- A. Maintain the prescribed fluid restriction.
- B. Withhold the next scheduled dose of treatment.
- C. Increase neurologic checks to every 2 hours.
- D. Assess for increasing fluid volume overload.
Correct Answer: A
Rationale: Maintaining fluid restriction is key in SIADH to prevent further sodium dilution, supporting the patient's improving sodium levels.
The nurse is providing discharge teaching to an older adult patient hospitalized for treatment of venous leg ulcers. Which instructions should the nurse include in the teaching plan?
- A. Eat a diet that is high in protein and vitamins A and C.
- B. Maintain bed rest as much as possible.
- C. Keep legs elevated when sitting or lying down.
- D. Inspect ankles daily for areas of darkening skin.
- E. Apply intermittent cold compresses four times daily.
Correct Answer: A,C,D
Rationale: A high-protein diet with vitamins A and C, leg elevation, and daily ankle inspections promote healing and monitor complications in venous leg ulcers.
Which action should the nurse implement to reduce the risk of vesicant extravasation in the client who is receiving intravenous chemotherapy?
- A. Keep the head of the bed elevated until the treatment is completed.
- B. Instruct the client to drink plenty of fluids during the treatment.
- C. Monitor the client's intravenous site hourly during the treatment.
- D. Administer an antiemetic before starting the chemotherapy.
Correct Answer: C
Rationale: Hourly IV site monitoring allows early detection of extravasation, preventing tissue damage from vesicant chemotherapy.