University of Nairobi Ms Pfaff Severe Headache Case Study Questions

Question Description

Ms. Pfaff is a 34-year-old female who arrived in the ED with a severe headache causing nausea and vomiting. She has a temperature of 102.6° F and states she has had the fever for a couple of days.

1. What assessments should the nurse perform?

2. The provider orders Ms. Pfaff to have a lumbar puncture. What pre-procedure preparations should the nurse complete?

3. The results of Ms. Pfaffs lumbar puncture are: pressure 24 cm H2O, unclear or hazy appearance, 10 lymphocytes/mm3, proteins 650 mg/dL, immune gamma globulin 12%, glucose 40 mg/dL, and lactate dehydrogenase 13%. What action should the nurse take as a result of these lumbar puncture findings?

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