Symptoms
What manifestations are newborns going to have with meningitis? (name 2)
What is poor muscle tone, weak cry, poor sucking reflex, refuses feeding, and vomiting or diarrhea
A 6-month-old infant is brought to the clinic with constipation, weak cry, poor feeding, and hypotonia (“floppy baby”). The parent reports giving the infant homemade honey water for cough relief. What action is the nurse’s priority?
A. Educate the parent about avoiding honey until 1 year of age
B. Assess the infant’s respiratory effort
C. Prepare for stool testing for C. botulinum spores
D. Initiate IV fluids for hydration
B. Assess the infants respiratory effort
Infant botulism can rapidly lead to respiratory paralysis; airway and ventilation assessment is always the priority.
What vaccines should you stay up to date with for meningitis?
What is Hib, Pneumococcal vaccine, and meningococcal vaccine
What type of precautions would someone with meningitis be on
What is droplet precautions
What are the two nursing priorities from the powerpoint for meningitis?
What are the manifestations of febrile seizures? (name 1)
What is sudden loss of consciousness, uncontrolable shaking or jerking of the arms and legs, stiffening of the body, and drowsiness or confusion can happen after seizure
A nurse cares for a child with bacterial meningitis. Which intervention is the priority?
A. Maintain NPO status
B. Initiate seizure precautions
C. Place the child on droplet precautions
D. Keep the room dim and quiet
C. Place the child on droplet precautions
Bacterial meningitis is highly contagious and requires immediate droplet precautions to protect others.
What is lay client on their side with head tilted back
What would a social worker/case manager help with in collaborative interventions?
What is assist with follow up appointments as needed
What are the nursing priorities from the powerpoint for febrile seizures?
What is implementing seizure precautions and reducing fever to prevent another febrile seizure
What are the manifestations for botulism? (name 2)
What is abdominal pain, cramping, diarrhea, can cause paralysis that begins in the face
A 6-month-old infant is admitted with suspected meningitis. Which assessment finding requires immediate intervention?
A. High-pitched cry
B. Poor feeding
C. Irritability
D. Sleepiness after a lumbar puncture
A. High pitched cry
A high-pitched cry is a sign of increased intracranial pressure (ICP) in infants and is a priority because rising ICP can lead to herniation.
What is one thing you can do to prevent yourself from getting botulism?
What is a lumbar puncture
What is educating on safe food practices like washing your hands from 20-30 seconds and cooking your meets to the right temperature
What manifestations are 3months-2 year olds going to have with meningitis?
What is seizures with high pitched cry, fever, irritability, poor feeding, vomiting
A 2-year-old child is brought to the emergency department after a generalized tonic-clonic seizure lasting 90 seconds. The child now has a temperature of 39.4°C (103°F) and is sleepy but arousable. Which nursing action is the priority?
A. Administer acetaminophen to reduce fever
B. Place the child in a side-lying position
C. Prepare to obtain blood cultures
D. Apply a cooling blanket
B. Place the child in a side-lying position
After a seizure, the priority is to maintain airway and safety. The side-lying position prevents aspiration and promotes airway patency.
What is the number one thing to prevent the spread of diseases?
What is handwashing
What is an important vital sign to monitor with febrile seizures?
What is temperature
What temperature should you cook ground beed and egg products to?
What is 160F
What manifestations are 2years-adolescence going to have with meningitis? (name 2)
What is seizures, nuchal rigidity, positive Brudzinski's sign, positive Kemig's sign, fever, chills, headache, irritability, and restlessness.
A 3-year-old with a history of febrile seizures is being discharged. Which parent teaching indicates a need for further instruction?
A. “I will stay calm and protect her from injury if a seizure happens.”
B. “I will place her on her side if she starts to seize.”
C. “I will give her ibuprofen quickly to stop the seizure.”
D. “I will call emergency services if a seizure lasts more than 5 minutes.”
C. "I will give her ibuprofen quickly to stop the seizure"
Antipyretics do not stop active seizures and do not prevent them.
Correct teaching includes seizure safety, positioning, and calling EMS for seizures >5 minutes
With Meningitis you should avoid sharing what two things while you are sick?
What is drinks and toothbrushes
What are two things you do for seizure precautions to prevent harm to the patient?
What is 165F