A client is suspected of having meningitis. For which test should ...

[schs14]

A client is suspected of having meningitis. For which test should the nurse prepare this client?
 
  1. Lumbar puncture
  2. CBC
  3. Head x-ray
  4. Doppler study of the head

Question 2

Osmotic diuretic therapy to prevent increasing intracranial pressure (ICP) has not been successful for a client. Which surgical procedure should the nurse anticipate being prescribed for this client?
 
  1. Lumbar surgery
  2. Bone flap surgery
  3. Carotid artery surgery
  4. Surgery to place a drain to the brain through the ear

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Answer to Question 1

Answer: 1

1. Lumbar puncture is performed to culture the cerebrospinal fluid, and fluid pressure can be measured as well during this procedure.
2. There is no preparation for a CBC.
3. The head is not x-rayed for infection or to view internal problems, because the x-ray cannot penetrate bone.
4. There is no Doppler study of the head.

Answer to Question 2

Answer: 2

1. Lumbar surgery is not performed to relieve pressure.
2. A part of the bone is removed from the skull, decreasing pressure by allowing for expansion of the brain, and is called a bone flap.
3. Carotid artery surgery is performed to clear those arteries and restore blood flow to the brain.
4. A drain can be placed to relieve pressure and provide drainage, but it is placed in the skull, not the ear.