# Stage 4 — Generate solutions. Which actions should the nurse include in the immediate infection-control and treatment plan? Select all that apply.

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=568585&lang=en  
> language: en  
> subject: Safety and Infection Prevention and Control  
> category: SIPC

## Question

Stage 4 — Generate solutions. Which actions should the nurse include in the immediate infection-control and treatment plan? Select all that apply.

1

Use Standard plus Droplet Precautions

2

Obtain ordered blood cultures promptly if this does not delay antibiotics

3

Administer the prescribed empiric ceftriaxone promptly

4

Notify infection prevention and public health and begin identifying close contacts

5

Place the client in a negative-pressure room and require an N95 respirator for routine care

6

Wait for lumbar-puncture confirmation before beginning antibiotics

## 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.

## In-depth explanation

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

## Clinical scenario

Case update
The emergency team is treating shock while the nurse coordinates isolation, specimens, antimicrobials, and exposure follow-through.

## Related questions

- [A patient on day 8 of induction chemotherapy for acute myeloid leukemia has an absolute ne…](https://mymerci.kr/pages/nclex_q.php?qn_id=372846&lang=en)
- [A patient is admitted with a urine culture positive for Klebsiella pneumoniae carbapenemas…](https://mymerci.kr/pages/nclex_q.php?qn_id=373257&lang=en)
- [A nurse is implementing the IHI central-line-associated bloodstream infection (CLABSI) pre…](https://mymerci.kr/pages/nclex_q.php?qn_id=373865&lang=en)
- [A perioperative nurse is implementing the surgical site infection (SSI) prevention bundle …](https://mymerci.kr/pages/nclex_q.php?qn_id=374199&lang=en)
- [A nurse is administering doxorubicin (a vesicant chemotherapy agent) through a peripheral …](https://mymerci.kr/pages/nclex_q.php?qn_id=374920&lang=en)
- [A patient is admitted with confirmed Clostridioides difficile (C. diff) infection — profus…](https://mymerci.kr/pages/nclex_q.php?qn_id=374937&lang=en)
- [A home health nurse visiting a 78-year-old with dementia notices unexplained bruises in va…](https://mymerci.kr/pages/nclex_q.php?qn_id=374965&lang=en)
- [A client admitted 18 hours after the last alcohol drink has tremor, diaphoresis, BP 168/96…](https://mymerci.kr/pages/nclex_q.php?qn_id=374984&lang=en)

## Read in another language

- [en](https://mymerci.kr/pages/nclex_q.php?qn_id=568585&lang=en)
- [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=568585&lang=ko)
- [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=568585&lang=ja)
- [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=568585&lang=zh-tw)
- [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=568585&lang=vi)

---

More free questions: [NCLEX-RN Practice](https://mymerci.kr/pages/nclex_bank.php?lang=en)

_For study reference only. Always follow current clinical guidelines and your institution’s protocols._