Difficulty: Medium
Average Score: 93%
Simulated
Passage / Scenario
A nurse is triaging a child who has suspected bacterial meningitis.The nurse recognizes which of the following as the initial action?
Correct answer
A
Rationale
The correct answer is A: Initiate isolation protocols. This is the initial action because it focuses on preventing the spread of infection, which is crucial in a healthcare setting. By isolating the patient, the nurse can minimize the risk of transmitting the infection to others. Administering IV antibiotics (B) and obtaining blood cultures (D) are important steps but should come after initiating isolation to protect others. Preparing for a lumbar puncture (C) is not necessary as the priority is infection control.