Neurologic NCLEX Questions _ Prioritization and Delegation_TEACHER COPY

Neurologic NCLEX Questions _ Prioritization and Delegation_TEACHER COPY. 1. What is the priority nursing diagnosis for a client experiencing a migraine headache? o 1.Acute Pain related to biologic and chemical factors o 2.Anxiety related to change in or threat to health status o 3.Hopelessness related to deteriorating physiologic condition o 4.Risk for Injury related to side effects of medical therapy Ans: 1 The priority for interdisciplinary care for the client experiencing a migraine headache is pain management. All of the other nursing diagnoses are accurate, but none of them is urgent like the issue of pain, which is often incapacitating. 2. You are creating a teaching plan for a client with newly-diagnosed migraine headaches. Which key items will you include in the teaching plan? (Select all that apply.) o 1.Foods that contain tyramine, such as alcohol and aged cheese, should be avoided. o 2.Drugs such as nitroglycerin (Nitrostat) and nifedipine (Procardia) should be avoided. o 3.Abortive therapy is aimed at eliminating the pain during the aura. o 4.A potential side effect of medications is rebound headache. o 5.Complementary therapies such as biofeedback and relaxation may be helpful. o 6.Estrogen therapy should be continued as prescribed by your physician. Ans: 1, 2, 3, 4, 5 Medications such as estrogen supplements may actually trigger a migraine headache attack. All of the other statements are accurate. 3. After a client has a seizure, which action can you delegate to the UAP? o 1.Documenting the seizure o 2.Performing neurologic checks o 3.Taking the client’s vital signs o 4.Restraining the client for protection