A nurse is caring for a child who has a terminal illness and reviews
palliative care with an assistive personnel (AP). Which of the
following statements by the AP indicates understanding of this
review?
"I'm sure the family is hopeful that the new medication will stop the
illness."
"I'll miss working with this client now that only nurses will be caring
for the child."
"I will get all the client's personal obiects out of the room."
"I will listen and respond as the family talks about their child's life." -
ANSWERS-"I will listen and respond as the family talks about their
child's life."
A nurse is assisting with the care of a client who has suspected
meningitis and a decreased level of consciousness. Which of the
following actions should the nurse take?
Place the client on NpO status.
Prepare the client for a liver biopsy.
Position the client dorsal recumbent.
Put the client in a protective environment. - ANSWERS-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? (Select all that apply.)
Negative Gram stain
Normal glucose content
Turbid and cloudy color
Decreased WBC count
Normal protein content - ANSWERS-Negative Gram stain
Normal glucose content
Normal protein content
A nurse is collecting data from a 4-month-old infant who has
meningitis. Which of the following manifestations should the nurse
expect?
Depressed anterior fontanel
Constipation
Presence of the rooting reflex
High-pitched cry - ANSWERS-High-pitched cry
A nurse is reviewing the medical record of a client who has Reye
syndrome. Which of the following findings should the nurse identify
as a risk factor for Reye syndrome?
Recent history of infectious cystitis caused by Candida
Recent history of bacterial otitis media
Recent episode of gastroenteritis
, Recent episode of Haemophilus influenza meningitis - ANSWERS-
Recent episode of gastroenteritis
5. A nurse is assisting with the development of an in-service about
viral and bacterial meningitis. The nurse should include that the
introduction of which of the following immunizations decreased the
incidence of bacterial meningitis in children? (Select all that apply.)
Inactivated polio vaccine (IPV)
Pneumococcal conjugate vaccine (PCV)
Diphtheria and tetanus toxoids and acellular pertussis vaccine (DaP)
Haemophilus influenzae type B (Hib) vaccine
Inactivated influenza vaccine (IV) - ANSWERS-Pneumococcal
conjugate vaccine (PCV)
Haemophilus influenzae type B (Hib) vaccine
A nurse is caring for a child who has absence seizures. Which of the
following findings should the nurse expect? (Select all that apply.)
Loss of consciousness
Appearance of daydreaming
Dropping held objects
Falling to the floor
Having a piercing cry - ANSWERS-Loss of consciousness
Appearance of daydreaming
Dropping held objects