NCLEX-PN

Category - Safety

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A 12-year-old demonstrates nuchal rigidity and tests positive for Kernig’s and Brudzinski’s signs. The diagnosis is to be determined after all the laboratory examinations have been done. Based on the findings, the nurse should maintain which safety precaution until the diagnosis is made?

Maintain droplet precautions
Maintain reverse isolation
Adherence to strict surgical hand washing
Maintain airborne precautions

Explanation

Answer: A - The child is most likely demonstrating signs of bacterial meningitis. Meningitis is transmitted through droplets. Masks should be worn at all times. Strict medical hand washing-not surgical hand washing-should be performed when caring for the client.

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