Neurological Disorders NCLEX Questions

Extract:

Question 1 of 5

Which nursing action is best for controlling the symptoms of the client diagnosed with myasthenia gravis?

Correct Answer: B

Rationale: Precise timing of pyridostigmine administration ensures consistent symptom control in myasthenia gravis by maintaining acetylcholine levels.

Question 2 of 5

The client diagnosed with Parkinson's disease is prescribed carbidopa/levodopa (Sinemet). Which intervention should the nurse implement prior to administering the medication?

A. Discuss how to prevent orthostatic hypotension. B. Take the client's apical pulse for one (1) full minute. C. Inform the client that this medication is for short-term use. D. Tell the client to take the medication on an empty stomach.

Correct Answer: A

Rationale: Carbidopa/levodopa can cause orthostatic hypotension. Discussing prevention (
A) ensures safety. Pulse (
B) is not routine, the medication is long-term (
C), and it can be taken with food (
D) to reduce nausea.

Question 3 of 5

Which assessment finding in a client with myasthenia gravis indicates a need for immediate intervention?

A. Mild diplopia B. Difficulty chewing C. Weak hand grip D. Respiratory rate of 10 breaths per minute

Correct Answer: D

Rationale: A low respiratory rate indicates potential respiratory failure in myasthenia gravis, requiring immediate intervention.

Question 4 of 5

Which nursing action is best for controlling the symptoms of the client diagnosed with myasthenia gravis?

A. Ensure that the client has regular bowel and bladder elimination. B. Administer each dose of medication at the precise scheduled time. C. Encourage the client to exercise twice daily for 30 minutes. D. Monitor the client's blood pressure every 4 hours.

Correct Answer: B

Rationale: Precise timing of pyridostigmine administration ensures consistent symptom control in myasthenia gravis by maintaining acetylcholine levels.

Question 5 of 5

The client is being discharged following a transsphenoidal hypophysectomy. Which discharge instructions should the nurse teach the client? Select all that apply.

A. Sleep with the head of the bed elevated. B. Keep a humidifier in the room. C. Use caution when performing oral care. D. Stay on a full liquid diet until seen by the HCP. E. Notify the HCP if developing a cold or fever.

Correct Answer: A,C,E

Rationale: Elevating the HOB (
A) reduces ICP, cautious oral care (
C) prevents surgical site disruption, and reporting infections (E) is critical due to infection risk. Humidifiers (
B) are not standard, and a liquid diet (
D) is unnecessary unless specified.

Neurological Disorders NCLEX Questions | Nurselytic

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