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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.

Answer and Explanation

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.

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Correct Answer is ["0.5"]

Explanation

Ordered dose: 1 mg

Available concentration: 2 mg/mL

Volumetoadminister= Ordered dose /Concentration

=1mg /2mg/ml

= 0.5ml

A. Get the child tested for Reye's syndrome if the child exhibits. fever, vomiting and lethargy. B. Use aspirin instead of acetaminophen for children with viral illness C. Advise parents to have their children immunized against Reye's syndrome D. Avoid giving salicylate-containing medications to a child who has a viral syndrome

Correct Answer is D

Explanation

A. "Get the child tested for Reye's syndrome if the child exhibits fever, vomiting, and lethargy.": While these are symptoms of Reye's syndrome, prevention focuses on avoiding triggers like salicylates during viral illnesses, not merely recognizing symptoms.

B. "Use aspirin instead of acetaminophen for children with viral illness.": Aspirin increases the risk of Reye's syndrome in children with viral illnesses.

C. "Advise parents to have their children immunized against Reye's syndrome.": There is no vaccine for Reye's syndrome; prevention relies on avoiding salicylate use during viral infections.

D. "Avoid giving salicylate-containing medications to a child who has a viral syndrome.": Salicylates, such as aspirin, are the primary risk factor for Reye's syndrome, so avoidance is critical.

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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).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["0.5"]

Explanation

The nurse is planning to teach parents about prevention of Reye's syndrome. What information would the nurse include in the teaching?

Correct Answer is D

Explanation

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