Editing Pediatric Nursing – RN Practice Questions (section)

==Question 15==
A 15-month-old is admitted with suspected bacterial meningitis. Which nursing actions are appropriate? '''Select all that apply.'''
# Initiate droplet precautions immediately, before the organism is identified
# Maintain a quiet, dimly lit room and cluster nursing care
# Position the child with the head of the bed slightly elevated and the head midline
# Place the child in a room with a school-age child recovering from pneumonia for socialization
# Institute seizure precautions and monitor neurologic status frequently
# Discontinue isolation after 24 hours of effective antibiotic therapy

'''Answer:''' 1, 2, 3, 5, and 6.

''Rationale:'' Droplet precautions are started on suspicion, not after confirmation, and may be discontinued after 24 hours of effective antibiotic therapy. A quiet, dim environment and clustered care reduce stimulation that raises intracranial pressure. Slight head elevation with midline positioning promotes cerebral venous drainage. Seizures are a common complication, so precautions and frequent neurologic checks are required. Option 4 violates isolation and exposes another patient; it also disregards the need for a low-stimulation environment.

[[Category:Pediatric Nursing]]
[[Category:Registered Nurse (NCLEX-RN)]]
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