HESI Registered Nurse EXIT Practice Exam

Which action is appropriate to add to the care plan for an infant with bacterial meningitis?

1. Provide an over-the-crib protective top

2. Measure head circumference

3. Place in airborne isolation

4. Provide passive range of motion

The correct answer is: Measure head circumference

Measuring head circumference is crucial in the care of an infant with bacterial meningitis because increased intracranial pressure can lead to an expansion of the head in young children whose sutures have not yet fused. Monitoring head circumference allows healthcare providers to detect any significant changes that may indicate complications related to the illness, such as increased pressure or edema in the brain. This practice is particularly important in infants, as they are more susceptible to neurological complications from infections like meningitis. Regular measurements can help in early identification of these complications, allowing for timely interventions which are essential in managing the condition effectively. Other actions, while potentially relevant in different contexts, do not align as directly with the immediate and specific needs of an infant suffering from bacterial meningitis. For instance, placing the infant in airborne isolation is unnecessary because meningitis is primarily spread through direct contact or respiratory secretions, not through airborne transmission. Providing an over-the-crib protective top would not address the clinical aspects of the disease or its monitoring effectively. Similarly, while passive range of motion can be beneficial in other patient populations, it is not a priority intervention in the management of bacterial meningitis. Overall, measuring head circumference provides critical information for assessing the infant’s condition and modifying the care plan as needed