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 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.

A. Pneumococcal conjugate vaccine (PCV) B. Hepatitis B (HBV) C. Haemophilus influenzae type B (Hib) D. Measles, mumps, and rubella (MMR)

Correct Answer is D

Explanation

A. Pneumococcal conjugate vaccine (PCV): This vaccine is generally completed before the age of 5, so it is not typically administered at this stage.

B. Hepatitis B (HBV): The HBV series is usually completed during infancy and early childhood, so it is not needed at 5 years if the child is up to date.

C. Haemophilus influenzae type B (Hib): Hib is typically completed by 18 months of age and is not required for pre-kindergarten.

D. Measles, mumps, and rubella (MMR): A second dose of MMR is typically required at 4-6 years, aligning with pre-kindergarten vaccination schedules.

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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

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