NCLEX Secrets - Neurology Board Review
26. The client had been diagnosed to have Parkinson's disease. He is receiving levodopa. Which of the following health teachings should be included by the nurse?
a) avoid over exposure to sunlight
b) avoid taking pyridoxine and fortified cereals
c) increase fluid intake
d) discontinue the drug if it causes reddish brown discoloration of urine
27. The client is diagnosed to have amyotrophic lateral sclerosis. Which of the following signs and symptoms should the nurse observe?
a) resting tremors, rigidity, shuffling gait
b) muscle atrophy, spasticity, difficulty breathing
c) intentional tremors, diplopia, scanning speech
d) mask-like face, ascending paralysis, paresthesia
28. The client had been diagnosed to have chronic hypertension. His LDL levels are high while HDL levels are low. Which information does the nurse give to the client about factors that may increase HDL levels?
a) HDL levels may be increased by physical activity and estrogen
b) HDL levels may be increased by antihyperlipidemic agents
c) HDL levels may be increased by low cholesterol diet
d) HDL levels may be increased by bed rest
29. The client has been diagnosed to have Guillain-Barre Syndrome (GBS). Which of the following should the nurse include in the nursing care plan of the client?
a) check ability to hear
b) check bladder distention
c) check blood pressure every 2 hours
d) check deep tendon reflexes every shift
30. Who among these hypertensive clients should the nurse follow-up first?
a) the white American client with BP of 160/100 mmHg, which went down to 140/90 mmHg one hour after taking Nifedipine.
b) the black American with BP of 161/98 who took anti-hypertensive medication twice but no progress noted
c) the native American client with BP ranging between 140/90 to 160/100 for the last 3 days
d) the Asian American client with BP of 116/84 and claims that he had been taking anti-hypertensive medication since 2 years ago
NCLEX Secrets - Neurology Board Review:
ANSWERS AND RATIONALE
26) B
- pyridoxine blocks effect of levodopa. Reddish brown discoloration of urine is a harmless side effect of levodopa.
27) B
- amyotrophic lateral sclerosis is a degenerative motor neuron disorder that affects muscles.
Choice A describes Parkinson's disorder.
Choice C describes multiple sclerosis
Choice D describes guillain-barre's syndrome
28) A
- regular pattern of activity/exercise and estrogen may increase HDL levels (good cholesterol). High density lipoprotein is necessary to prevent atherosclerosis.
29) B
- GBS is an acute infectious polyneuritis of the cranial and peripheral nerves. It involves destruction of myelin sheath. It is usually preceded by a mild upper respiratory infection or gastroenteritis. It is characterized by ascending paralysis. Poor bladder tone is a characteristic manifestation.
30) B
- the client might go to hypertensive crisis since he is not responding to medications. This increases risk to cerebrovascular accident (CVA). Therefore, this client should be given highest priority by the nurse.
Go to the next page ---> NCLEX Secrets - Neurology Board Review (31-35)
Or Go back to NCLEX Secrets - Neurology Board Review (1-5) to start the test from the beginning.
Related Topics:
NCLEX Secrets - Neurology Board Review (26-30)
Subscribe to:
Post Comments (Atom)
Posts
0 comments:
Post a Comment