The nurse is planning care for a school-age child diagnosed with bacterial meningitis. Which intervention is most appropriate?
1. Keeping environmental stimuli at a minimum
2. Avoiding giving pain medications that could dull sensorium
3. Measuring head circumference to assess developing complications
4. Having the child move the head from side to side at least every two hours
Correct Answer: 1
Rationale: A quiet environment should be maintained because noise can disturb a child with meningitis. Pain medications are appropriate to give and should be used when needed. Measuring head circumference would only be appropriate for a child less than 2 years. Excessive head movement should be avoided because it can increase irritation of the meninges.
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