NCLEX-PN
NCLEX Neurological Disorders Questions
Extract:
Question 1 of 5
The client is in status epilepticus. Which interventions, if prescribed, should be included in this client's immediate treatment? Select all that apply.
Correct Answer: B,D,E
Rationale: Anticonvulsant medications such as phenytoin (Dilantin), and not anti-inflammatory medications such as dexamethasone (Decadron), are administered IV to control seizure activity. Status epilepticus is a medical emergency. The client is at risk for brain hypoxia and permanent brain damage. The client needs additional oxygen, and intubation will secure the airway. Defibrillation is treatment for ventricular fibrillation, a lethal heart dysrhythmia. Care is taken to protect the client from injury during the seizure. Either lorazepam (Ativan) or diazepam (Valium) is administered initially to terminate the seizure because they can be administered more rapidly than phenytoin.
Question 2 of 5
When the nurse alternates injection sites on the client's upper arms, how far apart should the injections be spaced?
Correct Answer: C
Rationale: Injections should be spaced 1'' apart to prevent tissue irritation and ensure proper drug absorption.
Question 3 of 5
Which nursing intervention is best during the confusedness?
Correct Answer: D
Rationale: Reorienting the client to place and situation reduces confusion and promotes safety post-craniotomy.
Question 4 of 5
When implementing this medical order, which nursing action is most appropriate?
Correct Answer: B
Rationale: Wrapping the cooling blanket in a light cloth cover prevents direct skin contact, reducing the risk of thermal injury while allowing effective cooling.
Question 5 of 5
Which nursing action is priority for a client with a stroke experiencing unilateral neglect?
Correct Answer: D
Rationale: Teaching the client to scan the environment compensates for unilateral neglect, promoting safety and awareness.