hard · NCLEX-RN Physiological Adaptation
An 18-year-old client is admitted to the unit with a high fever, severe headache, photophobia, and a positive Brudzinski sign. The nurse observes a new petechial rash on the client's trunk.
What is the immediate priority?
- Initiate droplet precautions and place the client in a private room.
- Administer the first dose of broad-spectrum antibiotics immediately.
- Transport the client to radiology for a stat head CT scan.
- Perform a lumbar puncture at the bedside to confirm the diagnosis.
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