A lumbar puncture is done on an infant suspected to have meningitis. If the infant has bacterial meningitis, the nurse would expect the cerebral spinal fluid to show what result?
An elevated red blood cell count
A decreased white cell count
An elevated white blood cell count
A normal glucose
The Correct Answer is C
A. An elevated red blood cell count is not a typical finding in bacterial meningitis. An increase in red blood cells in cerebrospinal fluid (CSF) is more indicative of a traumatic lumbar puncture or hemorrhage.
B. A decreased white cell count would not be expected in bacterial meningitis. Bacterial infections typically lead to an increase in white blood cell count as part of the immune response to fight the infection.
C. An elevated white blood cell count is a hallmark of bacterial meningitis. This finding indicates an immune response in the CSF to the presence of bacteria. The cells are primarily neutrophils in bacterial infections.
D. A normal glucose level is not expected in bacterial meningitis. Glucose is typically decreased due to the consumption of glucose by bacteria and white blood cells in the CSF.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Bone marrow transplantation offers the best chance of long-term survival is incorrect. Bone marrow transplantation is not the primary treatment for osteosarcoma. Treatment typically focuses on surgery and chemotherapy.
B. Treatment usually consists of surgery and chemotherapy is correct. The main treatment for osteosarcoma involves a combination of surgery (to remove the tumor) and chemotherapy (to treat any potential metastasis). This approach is the standard for achieving long-term survival in most cases.
C. Intensive irradiation is the primary treatment is incorrect. While radiation therapy can sometimes be used, it is not the primary treatment for osteosarcoma. Surgery and chemotherapy are the main modalities.
D. Amputation of the affected extremity is rarely necessary is incorrect. While limb-sparing surgery is often possible, amputation may still be required in some cases, depending on the location and extent of the tumor. Thus, saying amputation is rarely necessary may be misleading.
Correct Answer is C
Explanation
A. The nurse monitors the child's vital signs every 2 to 4 hours is appropriate. Regular monitoring of vital signs is important in children with neutropenia to detect early signs of infection or sepsis.
B. The nurse carefully washes his/her hands before and after providing care is appropriate. Hand hygiene is critical in preventing the transmission of infection, especially in neutropenic patients who are at high risk of infections.
C. The child has been placed in a semi-private room requires further education. A child with a neutrophil count of 225 is at significant risk of infection, and placing the child in a semi-private room increases the risk of exposure to pathogens. The child should be placed in a private room to minimize exposure to infectious agents.
D. The nurse assesses the child for clinical signs of an infection is appropriate. Vigilant monitoring for infection is essential in neutropenic patients, as they are more susceptible to infections.
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