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 C
Explanation
A. Tonic-clonic seizure. Tonic-clonic seizures involve both muscle stiffness (tonic phase) and jerking movements (clonic phase), but they are not characterized by a sudden loss of muscle tone.
B. Myoclonic seizure. Myoclonic seizures involve brief, sudden jerks or twitches of a muscle or group of muscles, not the sudden loss of muscle tone.
C. Atonic seizure. Atonic seizures, also known as "drop attacks," are characterized by a sudden loss of muscle tone, which causes the person to collapse or fall to the ground. This is the correct description of the type of seizure being asked about.
D. Absence seizure. Absence seizures involve brief episodes of staring and loss of awareness but do not cause loss of muscle tone or collapsing.
Correct Answer is B
Explanation
A. "My baby's formula can be thickened with oatmeal." While some infants with reflux may benefit from thickening their formula, oatmeal is not typically recommended as a thickening agent. Parents should follow specific medical guidance on safe thickening agents for formula.
B. "I will keep my baby in an upright position after feedings." This statement demonstrates an understanding of appropriate management of gastroesophageal reflux (GER). Keeping the baby upright after feeding helps prevent the backflow of stomach contents into the esophagus, reducing reflux symptoms.
C. "I will have to feed my baby formula rather than breast milk." This statement is incorrect. Breast milk is not contraindicated for infants with GER, and in fact, breast milk may be easier to digest and may help reduce reflux symptoms compared to formula.
D. "I should position my baby side-lying during sleep." This statement is not recommended. Babies should be placed on their back for sleep, as side-lying positions can increase the risk of sudden infant death syndrome (SIDS). The back sleep position is safest for all infants, including those with reflux.
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