Read the Following Excerpt from This Patient's Health Record: Emergency

question 31

Multiple Choice

Read the following excerpt from this patient's health record: Emergency Department Course:
Manuel was driven to the emergency room by his parents. On arrival, he appeared very confused, though not agitated. With his encephalopathic picture, we were most worried about psychotropic drug abuse or infection. A normal urine drug screen and a CBC with an elevated WBC count were suspicious for infection. Because encephalitis and meningitis were the main concerns, we performed a lumbar puncture. The opening pressure was consistent with elevated intracranial pressure. The CSF showed an elevated WBC count. The culture is pending. Shortly after his lumbar puncture, Manuel had a tonic-clonic seizure. We treated him with an anticonvulsant and the seizure stopped. The electroencephalogram showed paroxysmal lateral epileptiform discharges (PLEDs) , which are characteristic of herpes encephalitis. The pediatric team was called, and they admitted him to the PICU.
Which of the following is NOT true about the patient's Emergency Department course?

• A) After his LP the patient had a seizure where the muscles first were unresponsive and then began to spasm.
• B) The cerebrospinal fluid showed an elevated white blood count.
• C) The ED performed an LP because they were suspicious of inflammation of the brain or inflammation of the meninges.
• D) The EEG showed characteristics of an infection of the brain
• E) The opening pressure of the LP was consistent with elevated ICP.

Understand common stereotypes associated with aging.

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Definitions:

Decision-Making Model

A conceptual framework that describes the sequence of steps taken to make decisions, often including problem identification, information gathering, alternative evaluation, and selection.

Human Logic

The process of reasoning and thinking that is characteristic of the human mind, including the ability to draw inferences and make conclusions based on information.

First Alternative

The initial solution or option considered in decision-making or problem-solving processes.

Consultative Decisions

Decision-making processes where input or feedback is sought from others, especially those who will be affected by the decision, before a final choice is made.