During |the |assessment |of |a |patient |with |a |brain |abscess, |the |nurse |notes |elevated |blood
|pressure |and |altered |level |of |consciousness. |Which |additional |symptoms |should |the |nurse
|assess |for? |SATA
Fever |
Nausea |
Headache |
Drowsiness |
Nuchal |rigidity |- |correct |answers |-Fever, |Nausea, |Headache, |Drowsiness
A |patient |is |showing |symptoms |of |encephalitis. |Which |question |should |the |nurse |ask |the
|patient?
"How |much |do |you |weigh?" |
"Have |you |had |tooth |surgery |recently?" |
"Have |you |recently |had |a |cold |or |the |flu?" |
"Have |you |recently |spent |time |in |wooded |or |swampy |areas?" |- |correct |answer |-"Have |you
|recently |spent |time |in |wooded |or |swampy |areas?" |
Encephalitis |is |often |acquired |from |tick |or |mosquito |bites |that |may |be |obtained |while
|hiking.
The |nurse |is |caring |for |a |patient |with |encephalitis |who |was |positive |for |cytomegalovirus.
|Which |immunocompromising |condition |is |this |related |to?
HIV
Diabetes
Hypertension
Sarcoidosis |- |correct |answer |-HIV
Cytomegalovirus |encephalitis |is |a |common |complication |in |HIV/AIDS |patients.
,The |nurse |is |caring |for |a |patient |with |encephalitis. |The |patient |reports |headache, |nausea
|and |irritability. |The |nurse |notes |temperature |103.2, |BP |138/88, |HR |97, |Respirations |22,
|SpO2 |96%. |Which |action |would |the |nurse |take |first?
Administer |Acyclovir
Administer |Phenytoin |
Give |Ceftriaxone |.
Give |a |dose |of |Morphine |I |- |correct |answer |-Administer |Phenytoin |
IV |Phenytoin |should |be |administered |as |a |prophylactic |for |seizure |prevention.
A |charge |nurse |is |meeting |with |the |team |members |on |the |unit |and |is |discussing |care |of |a
|patient |with |bacterial |meningitis. |Which |information |about |visitors |is |most |important |for
|the |charge |nurse |relay |to |the |care |team?
-Visitors |are |allowed |four |at |a |time, |and |visiting |hours |end |at |9:00 |pm |each |night. |T
-Visitors |should |be |limited, |and |will |be |required |to |wear |appropriate |PPE. |
-Visitors |should |all |come |at |once, |and |are |allowed |only |two |hours |with |the |patient. |
-Visitors |are |allowed, |but |are |required |to |check |in |at |the |nurse's |station |prior |to |entering
|the |room. |- |correct |answer |-Visitors |should |be |limited, |and |will |be |required |to |wear
|appropriate |PPE. |
Visitation |should |be |limited |to |allow |the |patient |to |rest. |Patients |will |be |on |isolation
|precautions |and |visitors |and |care |team |members |will |be |required |to |wear |masks, |gowns
|and |gloves. |Any |persons |or |visitors |coming |into |contact |with |someone |diagnosed |with
|bacterial |meningitis |may |also |require |prophylactic |antibiotics.
A |patient |with |bacterial |meningitis |has |a |temperature |of |101.2 |°F. |Which |health |care
|provider |orders |would |the |nurse |anticipate? |SATA
Ampicillin |
Mannitol |
Maintenance |IV |fluids |
, Acetaminophen |
Placement |of |ventricular |shunt |P |- |correct |answer |-Ampicillin, |Maintenance |IV |fluids,
|Acetaminophen
Which |actions |can |the |nurse |take |to |decrease |environmental |stimuli |for |a |patient |with
|bacterial |meningitis? |SATA
Turn |off |television |
Turn |off |overhead |lights |
Limit |patient's |visitors |
Hang |isolation |sign |on |door |
Close |the |room's |window |blinds |- |correct |answer |-Turn |off |television |
Turn |off |overhead |lights |
Limit |patient's |visitors |
Close |the |room's |window |blinds
A |nurse |is |caring |for |a |patient |who |has |recently |been |diagnosed |with |encephalitis. |When
|the |nurse |enters |the |patient's |room, |the |patient |claims |that |they |"fell |asleep |in |bed, |but
|woke |up |on |the |floor" |and |don't |remember |how |they |got |there. |The |patient |is |showing
|increased |confusion. |Which |nursing |action |should |be |implemented |immediately |for |this
|patient?
Administer |dilantin |
Assess |the |patient |for |Injuries |
Refill |the |patient's |water |cup |
Raise |the |head |of |the |patient's |bed |- |correct |answer |-Assess |the |patient |for |injuries
A |patient |reports |of |severe |headache, |projectile |vomiting, |blurred |and |doubled |vision,
|sensitivity |to |light |and |a |fever |of |102.5. |Which |nursing |care |actions |are |appropriate |for |this
|patient?
|pressure |and |altered |level |of |consciousness. |Which |additional |symptoms |should |the |nurse
|assess |for? |SATA
Fever |
Nausea |
Headache |
Drowsiness |
Nuchal |rigidity |- |correct |answers |-Fever, |Nausea, |Headache, |Drowsiness
A |patient |is |showing |symptoms |of |encephalitis. |Which |question |should |the |nurse |ask |the
|patient?
"How |much |do |you |weigh?" |
"Have |you |had |tooth |surgery |recently?" |
"Have |you |recently |had |a |cold |or |the |flu?" |
"Have |you |recently |spent |time |in |wooded |or |swampy |areas?" |- |correct |answer |-"Have |you
|recently |spent |time |in |wooded |or |swampy |areas?" |
Encephalitis |is |often |acquired |from |tick |or |mosquito |bites |that |may |be |obtained |while
|hiking.
The |nurse |is |caring |for |a |patient |with |encephalitis |who |was |positive |for |cytomegalovirus.
|Which |immunocompromising |condition |is |this |related |to?
HIV
Diabetes
Hypertension
Sarcoidosis |- |correct |answer |-HIV
Cytomegalovirus |encephalitis |is |a |common |complication |in |HIV/AIDS |patients.
,The |nurse |is |caring |for |a |patient |with |encephalitis. |The |patient |reports |headache, |nausea
|and |irritability. |The |nurse |notes |temperature |103.2, |BP |138/88, |HR |97, |Respirations |22,
|SpO2 |96%. |Which |action |would |the |nurse |take |first?
Administer |Acyclovir
Administer |Phenytoin |
Give |Ceftriaxone |.
Give |a |dose |of |Morphine |I |- |correct |answer |-Administer |Phenytoin |
IV |Phenytoin |should |be |administered |as |a |prophylactic |for |seizure |prevention.
A |charge |nurse |is |meeting |with |the |team |members |on |the |unit |and |is |discussing |care |of |a
|patient |with |bacterial |meningitis. |Which |information |about |visitors |is |most |important |for
|the |charge |nurse |relay |to |the |care |team?
-Visitors |are |allowed |four |at |a |time, |and |visiting |hours |end |at |9:00 |pm |each |night. |T
-Visitors |should |be |limited, |and |will |be |required |to |wear |appropriate |PPE. |
-Visitors |should |all |come |at |once, |and |are |allowed |only |two |hours |with |the |patient. |
-Visitors |are |allowed, |but |are |required |to |check |in |at |the |nurse's |station |prior |to |entering
|the |room. |- |correct |answer |-Visitors |should |be |limited, |and |will |be |required |to |wear
|appropriate |PPE. |
Visitation |should |be |limited |to |allow |the |patient |to |rest. |Patients |will |be |on |isolation
|precautions |and |visitors |and |care |team |members |will |be |required |to |wear |masks, |gowns
|and |gloves. |Any |persons |or |visitors |coming |into |contact |with |someone |diagnosed |with
|bacterial |meningitis |may |also |require |prophylactic |antibiotics.
A |patient |with |bacterial |meningitis |has |a |temperature |of |101.2 |°F. |Which |health |care
|provider |orders |would |the |nurse |anticipate? |SATA
Ampicillin |
Mannitol |
Maintenance |IV |fluids |
, Acetaminophen |
Placement |of |ventricular |shunt |P |- |correct |answer |-Ampicillin, |Maintenance |IV |fluids,
|Acetaminophen
Which |actions |can |the |nurse |take |to |decrease |environmental |stimuli |for |a |patient |with
|bacterial |meningitis? |SATA
Turn |off |television |
Turn |off |overhead |lights |
Limit |patient's |visitors |
Hang |isolation |sign |on |door |
Close |the |room's |window |blinds |- |correct |answer |-Turn |off |television |
Turn |off |overhead |lights |
Limit |patient's |visitors |
Close |the |room's |window |blinds
A |nurse |is |caring |for |a |patient |who |has |recently |been |diagnosed |with |encephalitis. |When
|the |nurse |enters |the |patient's |room, |the |patient |claims |that |they |"fell |asleep |in |bed, |but
|woke |up |on |the |floor" |and |don't |remember |how |they |got |there. |The |patient |is |showing
|increased |confusion. |Which |nursing |action |should |be |implemented |immediately |for |this
|patient?
Administer |dilantin |
Assess |the |patient |for |Injuries |
Refill |the |patient's |water |cup |
Raise |the |head |of |the |patient's |bed |- |correct |answer |-Assess |the |patient |for |injuries
A |patient |reports |of |severe |headache, |projectile |vomiting, |blurred |and |doubled |vision,
|sensitivity |to |light |and |a |fever |of |102.5. |Which |nursing |care |actions |are |appropriate |for |this
|patient?
