ATI RN
ATI Maternal Newborn Exam 3 Fall 2023 Questions
Extract:
A client who reports a severe headache and stiff neck. The nurse's assessment reveals positive Kernig's and Brudzinski's signs.
Question 1 of 5
A nurse is assessing a client who reports a severe headache and stiff neck. The nurse's assessment reveals positive Kernig's and Brudzinski's signs. Which of the following actions should the nurse perform first?
Correct Answer: D
Rationale: The correct answer is D: Implement droplet precautions. This is because positive Kernig's and Brudzinski's signs suggest meningitis, which is highly contagious through respiratory droplets. Implementing droplet precautions is crucial to prevent the spread of infection to others and protect healthcare workers. Decreasing bright lights (choice
A) may help alleviate symptoms but is not the priority. Initiating IV access (choice
B) and administering antibiotics (choice
C) are important interventions but should come after implementing precautions to prevent transmission.
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Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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