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. Cardiac arrest is not a common complication of Guillain-Barré syndrome.
B. Respiratory failure is a common and serious complication due to muscle weakness affecting the respiratory muscles.
C. Gastrointestinal bleeding is not associated with Guillain-Barré syndrome.
D. Renal failure is not a common complication of Guillain-Barré syndrome.
Correct Answer is A
Explanation
A. Tachycardia can occur due to dehydration from excessive fluid loss in diabetes insipidus.
B. Hyperglycemia is associated with diabetes mellitus, not diabetes insipidus.
C. Bounding peripheral pulses are not typical in diabetes insipidus.
D. Hypertension is not a common finding in diabetes insipidus; hypotension is more likely due to fluid loss.
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