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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Reduce environmental stimuli: While minimizing stimuli is important for comfort, it is not the priority in treating a life-threatening bacterial infection.

B. Document intake and output: Monitoring fluid status is essential but secondary to administering life-saving treatment.

C. Administer antibiotics when available: Bacterial meningitis is a medical emergency. Administering antibiotics promptly can reduce mortality and prevent complications such as neurological damage.

D. Maintain seizure precautions: Seizure precautions are necessary but do not take precedence over starting antibiotics.

A. "I cannot wash my child's hair prior to the procedure." B. "This procedure will be painful for my child." C. "I should not give my child anything to eat prior to the procedure." D. "My child should remain quiet and still during this procedure."

Correct Answer is D

Explanation

A. "I cannot wash my child's hair prior to the procedure.": Hair should be clean and free of oils or products to ensure proper electrode placement and signal conduction.

B. "This procedure will be painful for my child.": An EEG is a non-invasive and painless test.

C. "I should not give my child anything to eat prior to the procedure.": Eating is usually permitted before an EEG unless sedation is planned.

D. "My child should remain quiet and still during this procedure.": Movement can interfere with the test's accuracy, so the child needs to stay calm and still during the procedure.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis. Which of the following actions is the nurse's priority?

Correct Answer is C

Explanation

A nurse is reinforcing teaching to the caregivers of a child who is to have an electroencephalogram (EEG). Which of the following statements by the caregivers indicates understanding of the teaching?

Correct Answer is D

Explanation

A nurse is caring for a child who reports being physically abused by a family member. Which of the following statements should the nurse make?

Which of the following is a common symptom of meningitis?

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?

Which of the following is a common symptom of a seizure?

A nurse is reinforcing teaching with a 4-year-old child who is on airborne precautions about activities he can do while in the hospital. Which of the following activities should the nurse include in the teaching?

A nurse at a pediatric hotline receives a call from a mother who plans to administer aspirin to a toddler for a fever and wants to know the dosage. Which of the following statements by the nurse is an appropriate response?

A nurse is assisting with the development of an inservice about viral and bacterial meningitis. The nurse should include that the introduction of which of the following immunizations decreased the incidence of bacterial meningitis?

Which of the following is a common treatment for seizures?