Meningitis

Meningitis ( 24 Questions)

A nurse is assessing the cerebrospinal fluid (CSF) of a client suspected to have meningitis. Which CSF parameter indicates bacterial or fungal infection?


Correct Answer: C

Choice A rationale:

A cloudy appearance of cerebrospinal fluid (CSF) can indicate the presence of white blood cells and bacteria, suggesting an infection. However, it is not specific to bacterial or fungal infection and can also be seen in viral meningitis or non-infectious conditions like multiple sclerosis.

Choice B rationale:

Increased pressure in the CSF may occur in meningitis due to the inflammation and accumulation of fluid. While it can raise suspicion for meningitis, it is not specific to bacterial or fungal infection and can also be observed in other intracranial conditions.

Choice C rationale:

Decreased glucose levels in the CSF are a characteristic finding in bacterial or fungal meningitis. The invading bacteria or fungi consume glucose, leading to lower levels in the CSF compared to normal blood glucose levels. This finding helps differentiate bacterial or fungal meningitis from viral meningitis, where glucose levels are usually normal.

Choice D rationale:

Elevated protein levels in the CSF can be seen in various conditions, including meningitis. While it indicates increased inflammation and breakdown of cells, it is not specific to bacterial or fungal infection and can be present in viral or other forms of meningitis.




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