A nurse is providing care to a client who presents with manifestations consistent with bacterial meningitis. After evaluating the client and completing a head CT scan, the provider delays performing a lumbar puncture and orders a corticosteroid combined with antibiotics. The nurse knows that the lumbar puncture has most likely been delayed for what reason?
The provider wants to avoid lasting health complications.
The client has elevated intracranial pressure.
The client has experienced a seizure.
The provider already knows which pathogen the client has.
The Correct Answer is B
A. Avoiding lasting health complications is always a goal, but this is not the primary reason for delaying the lumbar puncture.
B. Elevated intracranial pressure is a concern as performing a lumbar puncture could cause brain herniation in such cases.
C. While seizures can occur with bacterial meningitis, they are not a primary reason for delaying a lumbar puncture.
D. Knowing the pathogen does not negate the need for a lumbar puncture for definitive diagnosis and cerebrospinal fluid analysis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Muscle hypertrophy is not associated with hypercortisolism; muscle wasting is more common.
B. A butterfly rash on the face is indicative of lupus, not hypercortisolism.
C. Moon face, or the round, puffy face, is a common manifestation of hypercortisolism (Cushing's syndrome).
D. A positive Chvostek's sign indicates hypocalcemia, not hypercortisolism.
Correct Answer is C
Explanation
. Bounding peripheral pulses are not associated with diabetes insipidus.
B. Bradycardia is not a typical manifestation of diabetes insipidus.
C. Urine specific gravity 1.002 indicates very dilute urine, which is a hallmark of diabetes insipidus due to the kidneys' inability to concentrate urine.
D. Moist mucous membranes are not expected in diabetes insipidus; dehydration often leads to dry mucous membranes.
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