A nurse is providing care to a client who presents with manifestations consistent with bacterial meningitis. After evaluating the client and completing a head CT scan, the provider delays performing a lumbar puncture and orders a corticosteroid combined with antibiotics. The nurse knows that the lumbar puncture has most likely been delayed for what reason?
The provider wants to avoid lasting health complications.
The client has elevated intracranial pressure.
The client has experienced a seizure.
The provider already knows which pathogen the client has.
The Correct Answer is B
A. Avoiding lasting health complications is always a goal, but this is not the primary reason for delaying the lumbar puncture.
B. Elevated intracranial pressure is a concern as performing a lumbar puncture could cause brain herniation in such cases.
C. While seizures can occur with bacterial meningitis, they are not a primary reason for delaying a lumbar puncture.
D. Knowing the pathogen does not negate the need for a lumbar puncture for definitive diagnosis and cerebrospinal fluid analysis.
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Related Questions
Correct Answer is C
Explanation
A. Overproduction of parathormone by the parathyroid gland is related to hyperparathyroidism, not Addison's disease.
B. Lack of insulin production by the pancreas is related to diabetes mellitus, not Addison's disease.
C. Addison's disease is caused by insufficient production of aldosterone and cortisol by the adrenal glands.
D. Overproduction of growth hormone by the pituitary gland is related to conditions like acromegaly, not Addison's disease.
Correct Answer is D
Explanation
A. Corticosteroids are not typically used as the initial treatment for Guillain-Barré syndrome.
B. Antibiotics are not effective against Guillain-Barré syndrome as it is not caused by a bacterial infection.
C. Antiviral medications are not relevant for Guillain-Barré syndrome because it is not caused by a viral infection.
D. Intravenous immunoglobulin (IVIG) is the initial treatment of choice as it helps reduce the severity and duration of the symptoms by modulating the immune response.
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