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 ["A","C","E"]

Explanation

A. Febrile episode: Fever is a common trigger for febrile seizures in children, especially between 6 months and 5 years.

B. Low blood lead levels: Elevated, not low, blood lead levels can increase the risk of seizures due to neurotoxicity.

C. Sodium imbalance: Both hyponatremia and hypernatremia can cause seizures by disrupting neuronal function.

D. Presence of diphtheria: Diphtheria does not directly increase the risk of seizures. Neurological complications are rare and secondary.

E. Hypoglycemia: Low blood sugar levels deprive the brain of energy, which can lead to seizures.

A. "I know that my child will need to have a companion when swimming." B. "I will make my child wear a medical identification bracelet." C. "I will need to give antiseizure medications when my child has a seizure." D. "I will have my child wear a bike helmet when riding a bike or skateboard."

Correct Answer is C

Explanation

A. "I know that my child will need to have a companion when swimming." This is a correct precaution to prevent drowning in case of a seizure.

B. "I will make my child wear a medical identification bracelet." This is correct to alert others in case of an emergency.

C. "I will need to give antiseizure medications when my child has a seizure." Antiseizure medications are typically administered as a preventive measure, not during a seizure. Emergency medications (e.g., rectal diazepam) may be used for prolonged seizures but are not routine for every seizure.

D. "I will have my child wear a bike helmet when riding a bike or skateboard." This is correct to protect the child from head injuries during activities.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing with a group of caregivers about the risk factors for seizures. Which of the following factors should the nurse include in her teaching? (Select 3 that apply)

Correct Answer is ["A","C","E"]

Explanation

The nurse instructs a mother of a child who has seizures regarding seizure precautions. Which statement by the mother indicates a need for further teaching?

Correct Answer is C

Explanation

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Which of the following is a common symptom of meningitis?

Which of the following body systems does meningitis affect?

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?

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).