Neurological disorders NCLEX Questions And Answers 2023

After teaching a patient about management of migraine headaches, the nurse determines that the teaching has been effective when the patient says, _____________ - Answer- "I will try to lie down someplace dark and quiet when the headaches begin." rational: It is recommended that the patient with a migraine rest in a dark, quiet area. Topiramate (Topamax) is used to prevent migraines and must be taken for several months to determine effectiveness. Aspirin or other nonsteroidal anti-inflammatory medications can be taken with the triptans. Alcohol may precipitate migraine headaches. When a patient is experiencing a cluster headache, the nurse will plan to assess for _______________ - Answer- unilateral eyelid swelling. rational: Unilateral eye edema, tearing, and ptosis are characteristic of cluster headaches. Nuchal rigidity suggests meningeal irritation, such as occurs with meningitis. Although nausea and vomiting may occur with migraine headaches, projectile vomiting is more consistent with increases in intracranial pressure (ICP). Unilateral sharp, stabbing pain, rather than throbbing pain, is characteristic of cluster headaches. A patient has a tonic-clonic seizure while the nurse is in the patient's room. Which action should the nurse take? - Answer- Time and observe and record the details of the seizure and postictal state. rational: Because diagnosis and treatment of seizures frequently are based on the description of the seizure, recording the length and details of the seizure is important. Insertion of an oral airway and restraining the patient during the seizure are contraindicated. The nurse may need to move the patient to decrease the risk of injury during the seizure. An elementary teacher who has just been diagnosed with epilepsy after having a generalized tonic-clonic seizure tells the nurse, "I cannot teach anymore, it will be too upsetting if I have a seizure at work." Which response by the nurse is best? - Answer- "Most patients with epilepsy are well controlled with antiseizure medications." rational: The nurse should inform the patient that most patients with seizure disorders are controlled with medication. The other information may be necessary if the patient seizures persist after treatment with antiseizure medications is implemented. Which action will the nurse take when evaluating a patient who is taking phenytoin (Dilantin) for adverse effects of the medication? - Answer- Inspect the oral mucosa. rational: Phenytoin c