NCLEX-PN

6. A 4-month-old with meningococcal meningitis has just been admitted to the pediatric unit. Which nursing intervention has the highest priority? A.​ Obtaining history information from the parents B.​ Administering acetaminophen (Tylenol) C.​ Instituting droplet precautions D.​ Orienting the parents to the pediatric unit Correct Response : C Explanation : Institute droplet precautions by providing a private room and wearing a mask, gloves, and gown for all those who will interact with the child is a priority for a newly admitted client with meningococcal meningitis until an appropriate antibiotic regimen has been given for 24 hours. Options A and D: Obtaining history information and orienting the parents to the unit don’t take priority. Option B: Acetaminophen may be prescribed but administering it doesn’t take priority over instituting droplet precautions. (See Transmission-Based Precautions ) 7. A 4-month-old with meningococcal meningitis has just been admitted to the pediatric unit. Which nursing intervention has the highest priority. A.​ Obtaining history information from the parents B.​ Administering acetaminophen (Tylenol) C.​ Instituting droplet precautions D.​ Orienting the parents to the pediatric unit Correct Response : C Explanation : Institute droplet precautions by providing a private room and wearing a mask, gloves, and gown for all those who will interact with the child is a priority for a newly admitted client with meningococcal meningitis until an appropriate antibiotic regimen has been given for 24 hours. Options A and D: Obtaining history information and orienting the parents to the unit don’t take priority. Option B: Acetaminophen may be prescribed but administering it doesn’t take priority over instituting droplet precautions. (See Transmission-Based Precautions ) 8. When working after the occurrence of a natural disaster, the LPN uses a color coding system for triaging clients. Which of these would be an accurate example of this? A.​ Yellow is placed on a client who is stable and can wait the longest to be treated. B.​ Red is placed on a client who is losing a lot of blood due to massive trauma. C.​ Green is placed on a client with an occluded airway and difficulty breathing. D.​ A black sticker is placed on a client whose injuries prove to be fatal. Correct Response: D Explanation: Black means dead on arrival or for whom nothing can be done toward survival. (See Applying Triage Protocols ) 9. The nurse cares for a client diagnosed with Coronavirus disease (COVID-19). Which type of transmission-based precautions does the nurse enforce?

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