A nurse prepares to provide perineal care to a client with ...

[WhattoUnderstand]

A nurse prepares to provide perineal care to a client with meningococcal meningitis. Which personal protective equipment should the nurse wear? (Select all that apply.)
 
  a. Particulate respirator
  b. Isolation gown
  c. Shoe covers
  d. Surgical mask
  e. Gloves

Question 2

A nurse assesses a client who is experiencing a cluster headache. Which clinical manifestations should the nurse expect to find? (Select all that apply.)
 
  a. Ipsilateral tearing of the eye
  b. Miosis
  c. Abrupt loss of consciousness
  d. Neck and shoulder tenderness
  e. Nasal congestion
  f.
  Exophthalmos

[sokh]

Answer to Question 1

ANS: D, E
Meningeal meningitis is spread via saliva and droplets, and Droplet Precautions are necessary. Caregivers should wear a surgical mask when within 6 feet of the client and should continue to use Standard Precautions, including gloves. A particulate respirator, an isolation gown, and shoe covers are not necessary for Droplet Precautions.

Answer to Question 2

ANS: A, B, E
Cluster headache is usually accompanied by ipsilateral tearing, miosis, rhinorrhea or nasal congestion, ptosis, eyelid edema, and facial sweating. Abrupt loss of consciousness, neck and shoulder tenderness, and exophthalmos are not associated with cluster headaches.

[WhattoUnderstand]

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