HESI Registered Nurse EXIT Practice Exam

Upon admitting a child with suspected meningococcal meningitis, what should the nurse do first?

1. Institute seizure precautions

2. Monitor neurologic status every hour

3. Place in respiratory/secretion precautions

4. Administer cefotaxime IV 50 mg/kg/day divided q6h

The correct answer is: Place in respiratory/secretion precautions

The priority action when admitting a child with suspected meningococcal meningitis is to place the patient in respiratory and secretion precautions. Meningococcal meningitis is a highly contagious infection caused by Neisseria meningitidis, and it spreads through respiratory droplets or direct contact with infected secretions. Implementing respiratory precautions helps prevent the transmission of this potentially life-threatening infection to other individuals, especially in healthcare settings where vulnerable patients may be present. While instituting seizure precautions, monitoring neurologic status, and administering antibiotics such as cefotaxime are important aspects of care for a child with suspected meningitis, ensuring the safety of others by controlling the spread of the infection takes precedence at the time of initial admission. It is crucial to act quickly to mitigate the risk of outbreak within the facility. Thus, placing the patient in respiratory and secretion precautions is the appropriate first step upon admission.