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Neuro NCLEX review Questions and Correct Answers
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<<<<< Elscores <<<<<>>>>> 20/08/2024 08:06>>>>Neuro NCLEX review Questions and Correct
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2. The nurse is teaching a female client with multiple sclerosis. When teaching the client
how to reduce fatigue, the nurse should tell the client to:
a. take a hot bath.
b. rest in an air-conditioned room
c. increase the dose of muscle relaxants.
d. avoid naps during the day
✓ ~: Answer B. Fatigue is a common symptom in clients with multiple sclerosis. Lowering
the body temperature by resting in an air-conditioned room may relieve fatigue; however,
extreme cold should be avoided. A hot bath or shower can increase body temperature,
producing fatigue. Muscle relaxants, prescribed to reduce spasticity, can cause
drowsiness and fatigue. Planning for frequent rest periods and naps can relieve fatigue.
Other measures to reduce fatigue in the client with multiple sclerosis include treating
depression, using occupational therapy to learn energy conservation techniques, and
reducing spasticity.
4. A female client with Guillain-Barré syndrome has paralysis affecting the respiratory
muscles and requires mechanical ventilation. When the client asks the nurse about the
paralysis, how should the nurse respond?
a. "You may have difficulty believing this, but the paralysis caused by this disease is
temporary."
b. "You'll have to accept the fact that you're permanently paralyzed. However, you won't
have any sensory loss."
c. "It must be hard to accept the permanency of your paralysis."
d. "You'll first regain use of your legs and then your arms."
, <<<<< Elscores <<<<<>>>>> 20/08/2024 08:06>>>>
✓ ~: 4. Answer A. The nurse should inform the client that the paralysis that accompanies
Guillain-Barré syndrome is only temporary. Return of motor function begins proximally
and extends distally in the legs.
5. The nurse is working on a surgical floor. The nurse must logroll a male client following a:
a. laminectomy.
b. thoracotomy.
c. hemorrhoidectomy.
d. cystectomy.
✓ ~: 5. Answer A. The client who has had spinal surgery, such as laminectomy, must be
logrolled to keep the spinal column straight when turning. The client who has had a
thoracotomy or cystectomy may turn himself or may be assisted into a comfortable
position. Under normal circumstances, hemorrhoidectomy is an outpatient procedure, and
the client may resume normal activities immediately after surgery.
8. A female client is admitted in a disoriented and restless state after sustaining a concussion
during a car accident. Which nursing diagnosis takes highest priority in this client's plan of
care?
a. Disturbed sensory perception (visual)
b. Self-care deficient: Dressing/grooming
c. Impaired verbal communication
d. Risk for injury
✓ ~: 8. Answer D. Because the client is disoriented and restless, the most important nursing
diagnosis is risk for injury. Although the other options may be appropriate, they're
secondary because they don't immediately affect the client's health or safety.
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