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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Purple striations are more commonly associated with Cushing's syndrome, not Addison's disease.
B. Intention tremors are not a characteristic of Addison's disease.
C. Hirsutism is associated with excessive androgen production, not Addison's disease.
D. Hyperpigmentation, especially in areas exposed to friction, is a classic sign of Addison's disease due to increased production of melanocyte-stimulating hormone along with adrenocorticotropic hormone.
Correct Answer is B
Explanation
A. Decreased urine osmolality is not consistent with SIADH; urine osmolality is typically increased due to concentrated urine.
B. Decreased serum osmolality is a hallmark of SIADH due to excess water retention diluting the serum.
C. Decreased urinary sodium is not typical in SIADH; urinary sodium is usually increased due to the excretion of concentrated urine.
D. Increased serum sodium is not consistent with SIADH; serum sodium is typically decreased due to dilutional hyponatremia.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.