Which diagnostic test is the most definitive test used to detect meningitis?
CBC
Urinalysis
CT scan
Lumbar puncture
The Correct Answer is D
A. CBC: A CBC can indicate infection (elevated white blood cell count), but it is not specific for meningitis.
B. Urinalysis: Urinalysis is not relevant for diagnosing meningitis.
C. CT scan: A CT scan can detect complications like increased intracranial pressure but does not diagnose meningitis directly.
D. Lumbar puncture: A lumbar puncture allows direct analysis of CSF for glucose, protein, white blood cells, and organisms, which is definitive for diagnosing meningitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E"]
Explanation
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.
Correct Answer is B
Explanation
A. Apply oxygen by nasal cannula: Applying oxygen can be beneficial but is not the immediate priority during an active seizure. Protecting the airway comes first.
B. Turn the client to a lateral position: This action prevents aspiration by keeping the airway clear if the client vomits or has excessive secretions.
C. Administer an anticonvulsant medication: Medications may be necessary later, but immediate safety and airway protection take precedence.
D. Check the client’s oxygen saturation: Monitoring oxygen saturation is important but should follow positioning to ensure airway protection.
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