PEDS-PREPU Cerebral Sensory

PEDS-PREPU Cerebral Sensory Question 1: (see full question) A seven year old has just been admitted to the unit for excessive vomiting. Based on the available chart data, what is the nurse’s most appropriate action? 10/15/16 0730 Vital Signs Record T: 104.9° F (40.5° C) P: 98 RR: 30 Lab Values Serum Potassium: 3.1 mmol/L Serum Sodium: 128 mmol/L Nurse’s Note Skin flushed and warm to touch; good turgor; petechiae noted over entire trunk You selected:Assess the child’s neurological status Correct Explanation: Since fever, seizures, vomiting, and petechiae are signs of meningitis, the nurse should promptly assess the child’s neurological status and report the findings to the provider. ... (more) Remediation: Meningitis, pediatric Question 2: (see full question) A 3-month-old infant with meningococcal meningitis has just been admitted to the pediatric unit. Which nursing intervention has the highest priority? You selected:o btaining history information from the parents Incorrect Correct response: instituting droplet precautions Explanation: Instituting droplet precautions is the priority for a newly admitted infant with meningococcal meningitis. Acetaminophen may be ordered, but administering it does not take priority ... (more) Remediation: Meningitis, pediatric Droplet precautions Question 3: (see full question) A child with meningitis is to receive 1,000 mL of dextrose 5% in normal saline over 12 hours. At what rate in milliliters per hour should the nurse set the pump? Round your answer to the nearest whole number. You selected:8 3 Correct Explanation: 1,000 mL/12 hours = 83 mL/hour Remediation: Calculating and setting an IV drip rate Question 4: (see full question) A 7-year-old has been diagnosed with bacterial meningitis. Who should receive chemoprophylaxis? You selected:all household contacts and close contacts Correct Explanation: Chemoprophylaxis should be given to household contacts and close contacts only. To prevent community outbreaks, chemoprophylaxis with rifampin 600 mg twice a day for 2 days or a si ... (more) Remediation: Meningitis, pediatric Meningitis, pediatric, care planning Question 5: (see full question) A client admitted with bacterial meningitis must be transported to the radiology department for a repeat computed tomography scan of the head. His level of consciousness is decreased, and he requires nasopharyngeal suctioning before transport. Which infection control measures are best when caring for this client? You selected:Put on gloves, a mask, and eye protection during suctioning, and then apply a mask to the client's face for transport. Correct Explanation: Bacterial meningitis is spread through contact with infected droplets. The nurse should wear gloves, a mask, and eye protection when suctioning the client. Additionally, the client ... (more) Remediation: Meningitis Oxygenation: Nasopharyngeal Suctioning ...Continued.....