NREMT Paramedic Cognitive ExamOperationsMedium
A paramedic is preparing to transport a patient with suspected bacterial meningitis. The patient is exhibiting fever, headache, and a stiff neck. Which of the following precautions is most appropriate for the paramedic to implement during patient contact and transport?
- AAirborne precautions with an N95 respirator for the paramedic.
- BDroplet precautions with a surgical mask for the patient.
- CContact precautions with gloves and gown only.
- DStandard precautions only.
Show answer & explanationAnswer & explanation
Correct answer: B. Droplet precautions with a surgical mask for the patient.
Bacterial meningitis is typically transmitted via respiratory droplets. Therefore, droplet precautions, which include a surgical mask for the patient (to contain droplets) and a surgical mask for the healthcare provider, are the most appropriate measure to prevent transmission.
Why the other options are wrong
- A. Airborne precautions (N95) are for smaller airborne particles (e.g., TB, measles), not typically for bacterial meningitis which is droplet-borne.
- C. Contact precautions prevent transmission via direct or indirect contact, which is secondary to droplet transmission for meningitis.
- D. Standard precautions are always used but are insufficient for droplet-transmitted diseases like bacterial meningitis.
Bacterial Meningitis Precautions
Infection control measures to prevent the spread of bacterial meningitis, primarily through respiratory droplets.
- Transmitted via respiratory droplets.
- Requires droplet precautions.
- Patient wears a surgical mask; providers wear surgical masks and eye protection.
Memory trick: Meningitis is Droplet, Mask Up.