A nurse is reviewing the cerebral spinal fluid analysis for a group of clients who have suspected meningitis. Which of the following analysis findings would be consistent with a diagnosis of bacterial meningitis? (Select three answers that apply).
Clear CSF
Cloudy CSF
Negative gram stain.
Decreased glucose content.
Positive gram stain.
Correct Answer : B,D,E
A. Clear CSF: Clear CSF is typically seen in viral meningitis or normal findings, not bacterial meningitis.
B. Cloudy CSF: Cloudy CSF indicates the presence of infection and is characteristic of bacterial meningitis.
C. Negative gram stain: A negative gram stain indicates the absence of bacterial pathogens, which is not consistent with bacterial meningitis.
D. Decreased glucose content: Bacteria consume glucose, leading to decreased glucose levels in bacterial meningitis.
E. Positive gram stain: A positive gram stain confirms the presence of bacterial organisms in the CSF, supporting a diagnosis of bacterial meningitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "I should place a cool mist humidifier in his room.": Children with Down Syndrome often have narrow nasal passages and a tendency toward respiratory infections. A cool mist humidifier helps keep the airways moist, reducing irritation and easing breathing.
B. "I should expect him to have frequent diarrhea.": Diarrhea is not a common symptom associated with Down Syndrome; constipation is more frequent due to low muscle tone.
C. "I should expect him to grow faster in length than other infants.": Infants with Down Syndrome tend to have slower growth rates and may not reach the same length or weight milestones as peers.
D. "I should avoid the use of lotion on his skin.": Infants with Down Syndrome often have dry, sensitive skin, and the use of lotion is encouraged to prevent dryness and cracking.
Correct Answer is B
Explanation
A. Hide the medication in apple slices: This is inappropriate as the child might distrust caregivers if they realize the medication was hidden.
B. Offer the child an ice pop prior to administering the medication: An ice pop numbs taste buds and can reduce the unpleasant taste of medication.
C. Tell the child the medicine tastes like candy: Providing false information undermines trust and is unethical.
D. Inform the child that if he does not take the medication he will need a shot: Threats increase anxiety and do not foster cooperation.
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