A nurse is taking care of a child with a possible diagnosis of meningitis. The nurse knows to look for which laboratory results to verify the diagnosis?
Decreased pressure and cloudy cerebrospinal fluid with a high protein level.
Clear cerebrospinal fluid with a high protein and low glucose.
Cloudy cerebrospinal fluid with a low protein and low glucose.
Cloudy cerebrospinal fluid with a high protein and low glucose levels.
The Correct Answer is D
A. Decreased pressure and cloudy cerebrospinal fluid with a high protein level. Meningitis usually causes increased intracranial pressure, not decreased.
B. Clear cerebrospinal fluid with a high protein and low glucose. Clear CSF is typically seen in viral meningitis, but bacterial meningitis more often causes cloudy CSF.
C. Cloudy cerebrospinal fluid with a low protein and low glucose. While glucose is low in bacterial meningitis, protein is typically elevated due to the infection.
D. Cloudy cerebrospinal fluid with a high protein and low glucose levels. This finding is consistent with bacterial meningitis, where the CSF is cloudy, protein is elevated due to inflammation, and glucose is low because bacteria consume glucose.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Uncontrollable shaking of the body: This is a hallmark sign of generalized tonic-clonic seizures, characterized by jerking movements of the body.
B. Difficulty breathing and shortness of breath: Respiratory difficulties are not primary symptoms of seizures but may occur in severe cases.
C. Dizziness and lightheadedness: These symptoms are more indicative of conditions like vertigo or syncope, not seizures.
D. Rapid heart rate and chest pain: These are more characteristic of cardiac issues than seizures.
Correct Answer is C
Explanation
A. Integumentary: Meningitis affects the central nervous system (CNS), not the skin, though a rash can sometimes appear with meningococcal meningitis.
B. Digestive: Digestive symptoms like nausea and vomiting may occur, but the primary system affected is the CNS.
C. Central Nervous: Meningitis is an inflammation of the meninges, which are protective coverings of the brain and spinal cord in the CNS.
D. Cardiopulmonary: Cardiopulmonary symptoms are not primary features of meningitis, though severe cases may affect vital systems indirectly.
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