a client presents in the emergency department with acute onset of fever, headache, stiff neck, nausea/vomiting, and mental status changes. what interventions should the nurse initiate

Answers

Answer 1

The interventions should the nurse initiate are  

1. Elevate HOB 30 degrees

2. Pad side rails

3. Provide sponge bath if temperature greater than 101°F (38.3°C)

4. Darken room

What is bacterial meningitis?Bacterial meningitis is brought on by bacteria that enter the bloodstream, travel to the brain, and affect the spinal cord. A direct bacterial invasion of the meninges, however, can also result in bacterial meningitis. An ear infection, sinus infection, a skull fracture, or — very infrequently — certain operations could be the culprits. 1., 2., 3. & 5. Correct: Meningitis caused by bacteria is associated with sudden onset of fever, headache, stiff neck, n/v, and changes in mental state. To improve comfort and lower intracranial pressure, elevate the head of the bed. The nurse should take seizure precautions, which include padding the side rails, because the client is at a higher risk for seizures. If your fever is higher than 101°F (38.3°C), you should take a sponge bath as an independent nursing intervention.

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Related Questions

children of alcoholics . a. have a greater risk of being alcoholics b. are more likely to resist alcohol c. are less likely to develop health problems associated with alcohol consumption d. are more likely to be binge drinkers

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Children of alcoholics are more likely to be binge drinkers.

The majority of people who abuse alcohol and develop alcohol use disorders are in their early to mid-20s. Someone is more likely to become an alcoholic later in life the younger they start drinking. This is especially accurate for those who begin drinking before the age of 15.

It may have an impact on how the brain, liver, bones, and hormone production develop normally. Before the age of 14, drinking is linked to higher health risks, including accidents involving alcohol, engagement in crime, and attempts.

By reducing dietary caloric intake, hindering nutrient absorption and digestion decreasing peptide synthesis and secretion, boosting metabolism of gut proteins, and boosting the breakdown and excretion of nutrients, both acute or persistent alcohol consumption can lead to malnutrition.

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which would the nurse plan to offer the parents of a child who was treated for acute glomerulonephritis in preparation for the discharge?

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Examine her nursing methods to find any potential issues. To continue at home, the youngster is given samples of no-salt-added diets.

What is a glomerulonephritis?The small filters in your kidneys are harmed by glomerulonephritis (the glomeruli). Immune system attacks on healthy body tissue are a common cause of it. The typical symptoms of glomerulonephritis are nonexistent. Blood or urine tests that are performed for another purpose increase the likelihood of a diagnosis.After recovering from a strep throat infection or, less frequently, a skin infection brought on by the streptococcal bacterium, glomerulonephritis may appear a week or two later (impetigo). The glomeruli become inflamed as a result of an accumulation of antibodies to the microorganisms. Symptoms of kidney failure, such as edema (typically in the legs), high blood pressure, and decreased urine production, can appear in very severe instances of glomerulonephritis.

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a client may be developing side effects from an anticholinergic medication. which question does the nurse ask the client to further assess for side effects to this medication? (select all that apply.)

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Constipation, nausea, difficulties emptying the bladder, reduced perspiration, dry mouth, blurred vision, and rapid heartbeat are among the most frequent side effects of anticholinergics.

What is an anticholinergic drug's side effect? Constipation, nausea, difficulties emptying the bladder, reduced perspiration, dry mouth, blurred vision, and rapid heartbeat are among the most frequent side effects of anticholinergics.Adults over the age of sixty-five and others who have trouble thinking properly may find other side effects particularly annoying. The nurse prioritizes planned interventions, evaluates patient safety while conducting interventions, delegate actions as necessary, and document interventions carried out throughout the implementation phase of the nursing process.3A placebo effect may be more likely to occur in those who are highly motivated and anticipate the treatment to be effective.Even how a patient reacts might be influenced by the prescribing doctor's enthusiasm for the course of therapy.These parallels serve to illustrate bioequivalence, which states that a generic drug functions similarly to a brand-name drug and has a comparable clinical benefit.In other words, you can take a generic medication in place of a brand-name medication.

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a concerned mother of a newborn with a cleft lip asks the nurse when the surgical repair will occur. which is an appropriate nursing response?

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The nurse response will be that surgical repair is normally done between the ages of 6 and 12 weeks.

Surgery is a medical specialty that employs operative manual or instrumental procedures on a person in order to examine or treat a pathological condition like a illness or injury, to assist enhance body function or appearance, or to repair undesirable ruptured regions.

The surgical procedure, operation, and simply "surgery" refers to the act of doing surgery. The surgeon, a surgeon's assistant, an anaesthetic, a circulating nurse, and a surgical technician comprise a surgical team. Surgery normally lasts from minutes to hours, although it is not a continuous or recurring therapy. Arthroplasty is still a surgical treatment that restores joint function. Resurfacing the bones can rehabilitate a joint. A prosthesis may also be utilised. Different forms of arthritis can affect the joints.

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the nurse is reading the primary health care provider's (phcp) documentation regarding a pregnant client and notes that the phcp has documented that the client has an android pelvic shape. the nurse understands that which characteristics are included with this pelvic shape? select all that apply

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Android shaped pelvis has triangular or heart-shaped inlet and is narrower from the front.

What is the shape of Android pelvis?

It is rather small in front and has a heart-shaped brim. This form of pelvis is common in African women as well as tall ladies with narrow hips. The pelvic exit and cavity are frequently long, thin, and straight. Ischial spines are clearly visible.

It has a nearly round brim and, under normal conditions, will allow the passage of an average-sized infant with the least amount of stress to the mother and baby.

The pelvic cavity (the interior of the pelvis) is typically small, has straight side walls, and doesn't have particularly noticeable ischial spines that could provide an issue for the baby when it passes through. Babies born to women with this pelvic structure may rest their backs against their moms.

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if you are eating at a restaurant, how can you increase the likelihood that the restaurant meal meets your nutrient needs and supports health?

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You may boost the possibility that the restaurant meal satisfies your nutrient needs and promotes health by requesting that any leftovers be placed in take-out containers as soon as possible.

It is important to have a well-balanced diet. While each of the individual nutrients discussed above are important, it is important that a person take in a combination of all of them to make a well-balanced diet. Together they work to keep the body working at its optimum (best) level. The Care Plan will instruct an HHA/PCA on the patient's nutritional needs and limits. Home Health Aides/Personal Care Aides must always adhere to these guidelines because they are in place to best support the patient's health.

If they are unsure if a patient can consume a certain food, then should consult with their supervisor. It is essential to have a well-balanced diet. Although each of the individual nutrients listed above are vital, it is necessary that a person take in such a combination of all of them to build a well-balanced diet. They collaborate to maintain the body functioning at its peak (best).

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a patient who has acute pancreatitis is prescribed famotidine. the nurse explains that this drug is given for which purpose?

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The function of giving a patient with acute pancreatitis is to reduce stomach acid production.

What is corelation between pancreatitis with stomach acid?

Pancreatitis is an inflammation of the organ lying located behind the lower part of the stomach which is called pancreas.

Pancreatitis could come suddenly and last for days or it may occur over many years. Previous studies prove that anti-acid therapy with proton pump inhibitors can reduce pancreatic secretion and it can be used on treating acute pancreatitis. The common cause of pancreatitis to occur are gallstones that block enzyme regulation in the pancreas.

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the nurse observes a wrench taped to the head of the bed of a client who is currently in surgery. which device does the nurse expect this client to have when returning to the care area?

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The device Apathy or an unwillingness to wake up, a headache that worsens and does not go away.

Which finding is indicative of a basal skull fracture?Several clinical indicators that are strongly suggestive of a basilar skull fracture include: Hemotympanum, Blood will collect behind the tympanic membrane in the event of fractures involving the petrous ridge of the temporal bone, turning it purple.Apathy or an unwillingness to wake up, a headache that worsens and does not go away.Apathy or an unwillingness to wake up, a headache that worsens and does not go away. Speech slurs, numbness, or lack of coordination. nausea or vomiting that occurs frequently, convulsions, or seizures (shaking or twitching).Apathy or an unwillingness to wake up, a headache that worsens and does not go away. Speech slurs, numbness, or lack of coordination. nausea or vomiting that occurs frequently, convulsions, or seizures (shaking or twitching).

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the obstetric nurse explains to the client that when she stops breast-feeding, her breast tissue will reduce in size. the nurse understands that this regression is due to which physiologic process?

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Your milk ducts stop producing milk when you have finished weaning from nursing.The amount of breast tissue may decrease as a result.

What transpires to your breasts if you stop nursing? Your milk ducts stop producing milk when you have finished weaning from nursing.The amount of breast tissue may decrease as a result.Your skin may occasionally tighten to accommodate your larger breast size, but there may also be instances when it lacks the suppleness to do so.Your breasts will likely start to shrink once your kid starts eating solid meals, which is often around the 6-month mark but can happen earlier.They should regain their pre-pregnancy size or something similar after weaning.When you quit breastfeeding, your breasts will progressively get smaller as the milk-producing cells in them start to shrivel.At this point, some women claim their breasts feel or appear empty.After some time, fat cells will start to replace milk-producing cells once more, and you might notice that your breasts start to regain some fullness.

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