The physician is treating a child with meningitis with a course of antibiotic therapy. When should the nurse expect the child to be out of isolation?

a. When the course of antibiotics is complete
b. When a negative CNS culture is obtained
c. When the antibiotics have been initiated for 24 hours
d. When the child has no symptoms of the disease


ANS: C
The child with bacterial meningitis is isolated for at least 24 hours until antibiotic therapy has been administered.

Nursing

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A client is being discharged with a tracheostomy and voices concern about his appearance. What discharge teaching will assist the client with maintaining a positive body image?

a. "Tell people how sick you were when they ask about the tracheostomy." b. "Your clothing can help hide the tracheostomy so it is not as noticeable." c. "You can put a bandage around your tracheostomy so no one will see it." d. "You have to ignore comments that people make about your appearance."

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A client has had a urinary pyridinium crosslinks assay to evaluate bone resorption. What outcome result would the nurse expect to find in a client with osteoporosis? Increased

A. Urinary pyridinium level B. Serum calcium level C. Urinary calcitonin level D. Serum parathyroid hormone level

Nursing

A client receiving ipratropium (Atrovent) tells the nurse they are going to stop taking their prescription because of the bitter taste left in their mouth after its use. Which response should the nurse provide the client?

A. "A bitter taste may indicate you are experiencing a serious side effect." B. "This is a common side effect that will go away over time." C. "You can decrease that side effect by rinsing your mouth after use." D. "You may be administering too high of a dose."

Nursing

The nurse is caring for a child who is receiving total parenteral nutrition (TPN) for failure to thrive. Which nursing action might the nurse take to prevent complications from this therapy?

A) Adhere to clean technique when caring for the catheter and administering TPN. B) Ensure that the system remains an open system at all times. C) Secure all connections and open the catheter during tubing and cap changes. D) Use occlusive dressings and chlorhexidine-impregnated sponge dressings.

Nursing