A nurse is caring for a child who has increasing manifestations of fever, headache, stiff neck, and rash. Which of the following diagnostic tests should the nurse expect the health care provider to order?

Cerebrospinal fluid (CSF) analysis

Glasgow Coma Scale (GCS) assessment

RBC count

Magnetic resonance imaging (MRI)

Answer and Explanation

The Correct Answer is A

A. CSF analysis is the primary diagnostic test for meningitis, which presents with fever, headache, stiff neck, and rash.

B. The Glasgow Coma Scale (GCS) assesses consciousness but does not confirm the diagnosis of meningitis.

C. An RBC count is unrelated to diagnosing meningitis.

D. MRI can identify structural brain abnormalities but is not the first-line diagnostic test for meningitis.

Nursing Test Bank

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Correct Answer is B

Explanation

A. The whisper test is a basic screening tool and not a substitute for a formal evaluation.

B. An audiology evaluation provides a comprehensive assessment of the child’s hearing.

C. While inspecting for cerumen impaction is important, it is not the definitive action in this case.

D. Keeping a log may be helpful, but it is not sufficient as a primary action.

A. A sputum culture B. A stool fat content analysis C. Sweat chloride test D. Pulmonary function tests

Correct Answer is C

Explanation

A. A sputum culture can identify infections associated with cystic fibrosis but does not confirm the diagnosis.

B. A stool fat content analysis can indicate malabsorption, a symptom of cystic fibrosis, but it is not diagnostic.

C. The sweat chloride test measures the concentration of chloride in sweat and is the gold standard for diagnosing cystic fibrosis. Elevated chloride levels confirm the diagnosis.

D. Pulmonary function tests assess lung function and can help manage the disease but are not diagnostic of cystic fibrosis.

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A nurse is caring for a child who has increasing manifestations of fever, headache, stiff neck, and rash. Which of the following diagnostic tests should the nurse expect the health care provider to order?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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