ATI RN
ATI Pediatrics Exam 2 Questions
Extract:
An adolescent in the ED with high fever, headache, neck stiffness, CSF analysis: WBC count 300 cells/microliter, protein 45 mg/dL, glucose 40 mg/dL, turbid color.
Question 1 of 5
A nurse is caring for an adolescent who was brought to the emergency department (ED) with a high fever, headache, and neck stiffness. The nurse reviews the adolescent's cerebrospinal fluid (CSF) analysis results and notes the following: - WBC count 300 cells/microliter (normal range: 0 to 10 cells/microliter) - Protein 45 mg/dL (normal range: 15 to 45 mg/dL) - Glucose 40 mg/dL (normal range: 50 to 75 mg/dL) - Color Turbid (normal: clear and colorless) The nurse should suspect that the adolescent has which of the following conditions?
Correct Answer: A
Rationale: The correct answer is A: Bacterial meningitis. The CSF analysis shows elevated WBC count, decreased glucose levels, and turbid appearance, which are indicative of bacterial meningitis. Bacterial meningitis is characterized by an increased WBC count due to the body's immune response to the infection, low glucose levels as bacteria consume glucose, and turbid appearance due to the presence of bacteria and pus. Viral meningitis typically has normal glucose levels and a slightly elevated WBC count but is usually less severe. Encephalitis would present with different CSF findings and symptoms such as altered mental status. Brain abscess would have different CSF findings and often presents with focal neurological deficits.
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