A nurse is caring for a newly admitted client who has bacterial meningitis. Which of the following actions should the nurse take?
Explanation & Rationale
Choice A reason: Monitoring for hypoglycemia is not a priority in bacterial meningitis, as it is not a common complication. The focus is on neurological risks like seizures or increased intracranial pressure due to inflammation. This action diverts attention from critical interventions, making it inappropriate for managing meningitis. Choice B reason: Implementing seizure precautions is essential for bacterial meningitis, as inflammation of the meninges can irritate the brain, increasing seizure risk. Precautions like padded bed rails and anticonvulsant readiness ensure safety and prompt response, aligning with evidence-based care for this condition, making it the correct action. Choice C reason: Placing the client in high-Fowler’s position may increase discomfort or exacerbate intracranial pressure in bacterial meningitis. A 30-degree head elevation is preferred to reduce pressure while maintaining comfort. This position is not optimal, making it an incorrect choice for this condition. Choice D reason: Administering antiviral medications is inappropriate, as bacterial meningitis requires antibiotics, not antivirals, which target viral infections. Misusing antivirals delays effective treatment and worsens outcomes, making this action incorrect and potentially harmful for managing bacterial meningitis.