A patient is being tested for bacterial meningitis. Which finding would the nurse evaluate as supporting that diagnosis?
1. The CSF is negative for glucose.
2. CSF is high in sodium.
3. The CSF is turbid in appearance.
4. The potassium level in the CSF is low.
3
Rationale 1: Glucose is present in the CSF in both viral and bacterial meningitis.
Rationale 2: The sodium level in CSF is not associated with meningitis.
Rationale 3: When bacteria are present in the CSF, the fluid is cloudy and turbid.
Rationale 4: The potassium level of the CSF is not associated with meningitis.
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A school nurse has identified that there has been an increase in sexually transmitted infections (STIs) among the adolescents attending the school. Which of the following interventions should be completed by the nurse?
a. Arrange for the health department to come to the school to give information and treatment on a confidential basis b. Encourage the athletic coaches to distribute condoms in such a way that a boy can obtain them in private c. Have English teachers assign stories about the problems that result from adolescent pregnancy d. Have the bus drivers put a comic book about sexuality, STIs, and preventive measures on each seat
The nurse caring for a patient with Paget's disease is analyzing the patient's laboratory values. Which of the following values is most often seen in a patient with Paget's disease?
A) An elevated serum alkaline phosphatase level and an elevated serum calcium level B) A low serum alkaline phosphatase level and a low serum calcium level C) An elevated serum alkaline phosphatase level and a normal serum calcium level D) A normal serum alkaline phosphatase level and a low serum calcium level
A patient is prescribed a drug for insomnia. Which precaution is most important for the nurse to teach the patient?
a. "Avoid drinking fluids with caffeine before bedtime." b. "Rinse your mouth frequently with water or saline." c. "Avoid driving within 8 hours of taking this drug." d. "Do not take this drug for more than 1 week."
A patient has become a candidate to donate organs in Town A. Based on the UNOS priority system, which potential recipient would be the best candidate to receive a kidney transplant?
1. A patient on dialysis who lives in Town A and has been on the transplant list for 3 years 2. A patient with acute renal failure, the same blood type, and all matching antigens who lives in Town A 3. A patient on dialysis with compatible blood type and six matching antigens who lives in Town B (60 miles away) 4. A patient on dialysis who lives in Town B (60 miles away) and has been on the transplant list for 4 years