A child is admitted to the pediatric unit with a diagnosis of suspected meningococcal meningitis. Which admission orders should the nurse implement first?

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Question 1 of 5

A child is admitted to the pediatric unit with a diagnosis of suspected meningococcal meningitis. Which admission orders should the nurse implement first?

Correct Answer: C

Rationale: Placing in respiratory/secretion precautions is first for suspected meningococcal meningitis. Droplet isolation prevents spread, per infection control, a public health priority. Seizures , monitoring , and antibiotics follow. C protects staff and patients.

Question 2 of 5

The nurse reviews an order to administer Rh immune globulin to an Rh negative woman following the birth of an Rh positive baby. Which assessment is a priority before the nurse gives the injection?

Correct Answer: B

Rationale: A positive Coombs' test indicates Rh sensitization, contraindicating RhoGAM as it's ineffective post-sensitization.

Question 3 of 5

The nurse is caring for a client several days following a cerebral vascular accident. Coumadin (warfarin) has been prescribed. Today's prothrombin level is 40 seconds (normal range 10-14 seconds). Which of the following findings requires priority follow-up?

Correct Answer: A

Rationale: Prolonged PT increases bleeding risk; gum bleeding signals potential hemorrhage.

Question 4 of 5

A client with an aplastic sickle cell crisis is receiving a blood transfusion and begins to complain of 'feeling hot.' Almost immediately, the client begins to wheeze. What is the nurse's first action?

Correct Answer: A

Rationale: Symptoms suggest a transfusion reaction; stopping the infusion prevents further harm.

Question 5 of 5

The nurse is providing education for a client with newly diagnosed tuberculosis. Which statement should be included in the information that is given to the client?

Correct Answer: C

Rationale: Completing the full course prevents relapse and resistance, even if symptoms resolve.

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