Stage 4 — Generate solutions. Which actions should the nurse include in the immediate infection-control and treatment plan? Select all that apply.
Select All That Apply
Choose your responses, then check the answer.
Explanation
Suspected meningococcal disease requires Droplet Precautions, prompt cultures when feasible, immediate empiric antibiotics, and public-health and contact follow-through. Airborne isolation is not the routine transmission category, and treatment should not wait for lumbar puncture.
Quick answer Use Droplet Precautions, obtain cultures without delaying care, give prescribed ceftriaxone promptly, and start infection-prevention and public-health follow-through.
Why this is correct The plan must control transmission and treat a rapidly lethal infection at the same time. Public-health coordination identifies close contacts who may need prompt prophylaxis.
Easy analogy or mental picture Run two tracks together: one track protects the client with resuscitation and antibiotics; the other protects contacts with droplets contained and exposure tracing started.
Memory hook Isolate, culture if quick, treat now, trace contacts.
NCLEX decision rule When invasive meningococcal disease is suspected, do not wait for confirmation to isolate and treat; use Droplet rather than routine airborne precautions.
Why the other choices are wrong Negative-pressure airborne isolation is not routinely required for meningococcal droplets, and waiting for lumbar puncture can dangerously delay antibiotics.
References
1CDC: Clinical Overview of Meningococcal DiseaseClinical syndromes, prompt treatment, reporting, vaccination, and close-contact prophylaxis
2CDC Pink Book: Meningococcal DiseasePrompt empiric antibiotics, cultures, direct secretion exposure, and chemoprophylaxis
3CDC Infection Control: Meningococcal DiseaseStandard plus Droplet Precautions and occupational-exposure follow-through
Case updateThe emergency team is treating shock while the nurse coordinates isolation, specimens, antimicrobials, and exposure follow-through.