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    ATI RN 302 Paediatrics proctored Exam

    A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis. Which of the following actions is the nurse's priority?

    Explanation & Rationale

    Choice A reason: Placing the child in isolation is the priority to prevent the spread of bacterial meningitis, a highly contagious infection transmitted via respiratory droplets. Droplet precautions, including a private room, protect healthcare workers and patients, reducing nosocomial transmission of pathogens like Neisseria meningitidis. Choice B reason: Obtaining blood cultures is critical to identify the causative organism in bacterial meningitis, guiding antibiotic therapy. However, it is secondary to isolation, as delaying containment risks spreading the infection, which can cause severe neurological complications or death in exposed individuals. Choice C reason: Administering IV antibiotics is urgent in bacterial meningitis to treat the infection, but isolation takes precedence to prevent transmission. Antibiotics reduce bacterial load but do not immediately eliminate contagiousness, making isolation the first step to ensure public health safety. Choice D reason: Preparing for a lumbar puncture confirms the diagnosis by analyzing cerebrospinal fluid, but it is not the priority over isolation. Delaying isolation risks spreading the contagious infection, whereas the lumbar puncture, while diagnostic, does not address immediate transmission concerns.

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