A 3-year-old Black child with a history of sickle cell disease and is now diagnosed with meningi-tis. Which is the most likely microorganism the nurse will find on the lab report?
a. Virus
b. Haemophilus influenzae type B
c. Streptococcus pneumonia
d. Neisseria meningitidis
ANS: C
Children with sickle cell disease are at risk for developing bacterial meningitis. These children do not experience an increased risk for the development of a viral infection, Haemophilus influenzae, or Neisseria meningitidis.
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The nursing administration of a health care facility would like to encourage the use of evidence-based practice among the nurses working in the facility
The nurses have asked for Best Practice Information sheets specific to the care of patients in their units. Which source would be the best for the chief nurse to recommend to these nurses? 1. The Joanna Briggs Institute. 2. The Agency for Healthcare Research and Quality. 3. Cochrane Central Register of Controlled Trials. 4. U.S. Department of Health and Human Services.
To obtain an endocervical smear, you should insert the Cytobrush through the speculum into the cervical os approximately 1 cm and
a. leave the Cytobrush in the cervical os for 30 seconds to ensure saturation. b. rotate the Cytobrush 360° clockwise and then counterclockwise. c. rotate the Cytobrush 360° clockwise. d. swab the endocervix in a forward and backward brushing motion.
A goal for a patient with gastritis who has experienced nausea, vomiting, and diarrhea is to have a return of normal elimination patterns. Which statement best reflects this goal in a measurable manner?
a. The patient will have fewer stools. b. Diarrhea will be controlled and not return. c. The patient will have no more than one stool per day. d. The patient's bowel pattern will return to normal.
The mother of a 3-month-old infant says, "My baby was exposed to a child in my neighborhood who has chickenpox. Will my baby get chickenpox too?" How should the nurse respond?
1. "Probably, but the case will be very mild." 2. "Your baby probably received passive immunity from you and is protected." 3. "Your infant will get chickenpox only if she received an immunization against varicella." 4. "Active immunity against many diseases is passed to your baby before birth."