6-year-old child. Vomited 3 times in the past 24 hr. Irritable behavior for the past 24 hr. The respiratory infection started 3 days ago. Brudzinski’s and Kernig’s signs are positive. Vital Signs. Respiratory rate 28/min. Pulse rate 120/min. BP 108/64 mm Hg. Pain level of 6 on a scale from 0 to 10. Medication Administration Record. Vancomycin 300 mg IV q 6 hr following blood cultures. Acetaminophen 240 mg PO q 6 hr PRN fever. A nurse is planning care for a child during admission to the facility. Which of the following actions should the nurse take first? A. Obtain a prescription for pain medication. 0% B. Initiate seizure precautions. 75% Most selected C. Collect blood cultures. 14% D. Transport the child to obtain a CT scan. 10%
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[Solved]: 6-year-old child. Vomited 3 times in the…