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    Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph

    A nurse is caring for a newly admitted client who has bacterial meningitis. Which of the following actions should the nurse take?

    Explanation & Rationale

    Rationale: A. High-Fowler’s position is not ideal for meningitis; the client should be positioned with the head of bed elevated 30° to promote venous drainage and reduce intracranial pressure, not fully upright. B. Seizure precautions are necessary because meningitis causes inflammation of the meninges, leading to increased intracranial pressure and possible seizures. Interventions include keeping suction equipment and oxygen available, padding side rails, and maintaining a quiet environment. C. Range-of-motion exercises are appropriate but not a priority in the acute phase when the client is unstable and at risk for neurological deterioration. D. Hypoglycemia is not associated with bacterial meningitis. The main complications include seizures, increased ICP, and septic shock.

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