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    Ati rn pediatric nursing 2023 proctored exam

    A nurse is admitting a school-age child who has bacterial meningitis. Which of the following actions should the nurse include in the plan of care?

    Explanation & Rationale

    A. Encourage use of a digital gaming device: Bright screens and sensory stimulation can worsen discomfort in a child with bacterial meningitis, as these clients are often sensitive to light and noise. Rest in a quiet, dim environment is more appropriate. B. Avoid raising the head of the child's bed: Elevating the head of the bed to 30 degrees helps reduce intracranial pressure and promotes venous drainage. Avoiding elevation could worsen symptoms and increase complications. C. Place the child on seizure precautions: Children with bacterial meningitis are at increased risk for seizures due to inflammation and irritation of the meninges. Seizure precautions, such as padded side rails and having emergency equipment available, are essential. D. Maintain contact precautions for 24 hr after the start of antibiotics: Bacterial meningitis requires droplet precautions, not contact precautions, for at least 24 hours after antibiotics are initiated. Using the wrong type of isolation would not prevent transmission effectively.

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