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 B
Explanation
A. Desmopressin is used to treat diabetes insipidus, not SIADH.
B. Fluid restriction is a primary treatment to manage low sodium levels in SIADH.
C. 0.45% sodium chloride is hypotonic and not typically used in SIADH treatment.
D. Increasing dietary sodium alone is not sufficient; fluid restriction is more critical
Correct Answer is A
Explanation
A. Checking urine specific gravity is essential in diabetes insipidus to monitor the concentration of urine and assess the effectiveness of treatment.
B. Administering a diuretic is not appropriate as it could worsen the fluid loss in diabetes insipidus.
C. Measuring blood glucose levels is not specifically relevant to the management of diabetes insipidus.
D. Initiating fluid restrictions is not appropriate; in fact, increasing fluid intake is necessary to prevent dehydration.
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