A young child admitted to the pediatric unit has fever, irritability, and vomiting with suspected bacterial meningitis. Which cerebrospinal fluid (CSF) result should the nurse anticipate based on these data?
1. Decreased protein count
2. Clear, straw-colored fluid
3. Positive for red blood cells (RBCs)
4. Decreased glucose level
4
Explanation:
1. Bacterial meningitis causes CSF protein levels to be elevated due to swelling and obstruction of CSF flow.
2. In bacterial meningitis, the fluid is often cloudy with white blood cells (WBCs).
3. The nurse would expect WBCs to be elevated due to the infection. The RBCs may indicate a bloody tap.
4. Glucose levels are low in CSF when a child has bacterial meningitis.
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