What intervention should be beneficial in reducing the risk of ...

[tiara099]

What intervention should be beneficial in reducing the risk of Reye syndrome?
 
  a. Immunization against the disease
  b. Medical attention for all head injuries
  c. Prompt treatment of bacterial meningitis
  d. Avoidance of aspirin for children with varicella or those suspected of having influenza

Question 2

The nurse is planning care for a school-age child with bacterial meningitis. What intervention should be included?
 
  a. Keep environmental stimuli to a minimum.
  b. Have the child move her head from side to side at least every 2 hours.
  c. Avoid giving pain medications that could dull sensorium.
  d. Measure head circumference to assess developing complications.

[nyrave]

Answer to Question 1

ANS: D
Although the etiology of Reye syndrome is obscure, most cases follow a common viral illness, either varicella or influenza. A potential association exists between aspirin therapy and the development of Reye syndrome, so use of aspirin is avoided. No immunization currently exists for Reye syndrome. Reye syndrome is not correlated with head injuries or bacterial meningitis.

Answer to Question 2

ANS: A
The room is kept as quiet as possible and environmental stimuli are kept to a minimum. Most children with meningitis are sensitive to noise, bright lights, and other external stimuli. The nuchal rigidity associated with meningitis would make moving the head from side to side a painful intervention. If pain is present, the child should be treated appropriately. Failure to treat can cause increased intracranial pressure. In this age group, the head circumference does not change. Signs of increased intracranial pressure would need to be assessed.

[tiara099]

TYSM

[tuate]

Excellent