NCLEX-PN
NCLEX Questions on Neurological Disorders Quizlet Questions
Extract:
Question 1 of 5
An older adult with PD is prescribed levodopa and carbidopa. What information should the nurse include when teaching the client and spouse?
Correct Answer: A
Rationale: When first taking levodopa/carbidopa (Sinemet), the client is likely to experience dizziness and orthostatic hypotension due to the dopamine agonist properties. The client and spouse must be alerted about the increased risk for falls. Levodopa/carbidopa can be taken with multiple vitamins. Levodopa/carbidopa can be taken with food to decrease GI upset. There are many, not few, adverse effects associated with levodopa/carbidopa, including involuntary movements, anxiety, memory loss, blurred vision, and mydriasis.
Question 2 of 5
The nurse in the ED documents that the newly admitted client is 'postictal upon transfer.' What did the nurse observe?
Correct Answer: B
Rationale: Jaundice and icterus are terms for yellowing of the skin. The client had experienced a tonic-clonic seizure recently and is now in a state of deep relaxation and is breathing quietly. During this period the client may be unconscious or awaken gradually, but is often confused and disoriented. Often the client is amnesic regarding the seizure. Pruritus is a term for itching. Paresthesia is the term for abnormal sensations such as tingling and burning of the skin.
Question 3 of 5
The client diagnosed with PD is being discharged on carbidopa/levodopa (Sinemet), an antiparkinsonian drug. Which statement is the scientific rationale for combining these medications?
Correct Answer: C
Rationale: Carbidopa inhibits peripheral breakdown of levodopa, allowing more levodopa to cross the blood-brain barrier and convert to dopamine (
C). This enhances efficacy and reduces side effects. Other options are incorrect.
Question 4 of 5
When preparing the client for an EEG, which nursing action is most appropriate?
Correct Answer: C
Rationale: Shampooing the client's hair ensures a clean scalp, improving electrode contact for an accurate EEG.
Question 5 of 5
The client is to receive a 100-mL intravenous antibiotic over 30 minutes via an intravenous pump. At what rate should the nurse set the IV pump?
Correct Answer: 200 mL/hr
Rationale:
To infuse 100 mL over 30 minutes, calculate the hourly rate: (100 mL / 30 min) × 60 min/hr = 200 mL/hr. The pump should be set to 200 mL/hr.