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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E"]
Explanation
A. Fever is not a typical symptom of Guillain-Barré syndrome; it is usually associated with infections.
B. Muscle weakness is a primary symptom of Guillain-Barré syndrome, often starting in the legs and progressing upward.
C. Blurred vision is not commonly associated with Guillain-Barré syndrome.
D. Loss of reflexes is a characteristic sign of Guillain-Barré syndrome due to nerve involvement.
E. Tingling or numbness in the extremities is a common early symptom of Guillain-Barré syndrome.
Correct Answer is C
Explanation
A. Viral infections can trigger Guillain-Barré syndrome but are not the primary cause.
B. There is no strong evidence of genetic predisposition being the primary cause.
C. Guillain-Barré syndrome is primarily caused by an autoimmune response where the body's immune system attacks the peripheral nerves.
D. Trauma or injury is not the primary cause of Guillain-Barré syndrome.
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