A nurse is caring for a child who has increasing manifestations of fever, headache, stiff neck, and rash. Which of the following diagnostic tests should the nurse expect the health care provider to order?
Cerebrospinal fluid (CSF) analysis
Glasgow Coma Scale (GCS) assessment
RBC count
Magnetic resonance imaging (MRI)
The Correct Answer is A
A. CSF analysis is the primary diagnostic test for meningitis, which presents with fever, headache, stiff neck, and rash.
B. The Glasgow Coma Scale (GCS) assesses consciousness but does not confirm the diagnosis of meningitis.
C. An RBC count is unrelated to diagnosing meningitis.
D. MRI can identify structural brain abnormalities but is not the first-line diagnostic test for meningitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Infants typically achieve head control around 4 months of age, not 3 months.
B. The posterior fontanelle usually closes by 2 to 3 months of age, not 1 month.
C. Lymph nodes in infants are usually small and non-tender, and enlarged nodes may indicate infection.
D. The anterior fontanelle generally closes between 12 and 24 months of age.
Correct Answer is D
Explanation
A. Asking "who, what, where, and why" questions typically occurs around age 3 to 4 years.
B. Following one-step directions is typically seen earlier, around 12 to 15 months.
C. Recognizing items in a picture book is more characteristic of a 12-month-old child.
D. By 18 months, toddlers often begin to combine two words, such as "want cookie" or "go outside."
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