NEURO-NCLEX REVIEW

A patient presenting with meningitis may have the following symptoms: a fever that is
difficult to relieve, neck stiffness, photophobia (intolerance to light).
In order to preform a lumbar puncture, the patient should be in a side-lying position,
with his neck flexed.
After a lumbar puncture has been preformed, keep the patient lying flat for several
hours.
If a patient is suspected to have menegitits, and test results are pending, the patient
should be placed on droplet precautions.
If a cooling blanket is ordered to reduce the fever, place the blanket in a light cloth
cover to prevent irritation to the skin.
The Glascow Coma Scale assesses a patients response to stimuli, with values ranging
from 3 to 15. Anything 7 or below is considered to be comatose, and 15 is normal
functioning.
Guillain-Barr syndrome has been linked to swine flu immunizations.
The first sign that a patient with Guillain-Barr syndrome is developing ineffective
breathing is a diminished pulse ox.
When a patient with Guillain-Barr syndrome begins to develop difficulty swallowing,
the most appropriate method of providing the patient nutrition is through nasogastric
(NG) tube feedings.
If a patient with AIDS dementia complex begins to become confused, it is best to orient
the patient to the surroundings, and current situations.
An autonomic nervous system manifestation of a seizure is flushing of the skin and
increased sweating.
The following environmental modifications should be used to maintain seizure
precautions: keep the room dark and quiet, lower the bed to the lowest position, make
sure suction equipment is available, keep the bed flat with a pillow under the head.
When preparing a patient for an electroencephalography (EEG), assist the patient with
washing their hair.
The most important information to include when initially documenting a seizure is to
record the duration of the seizure.
When finding a patient experiencing a tonic-clonic seizure, it is essential to roll the
patient onto their side, remove any environmental hazards in order to protect the
patient, call the respiratory therapy department.
If a patient is injured during a seizure, the most important fact to document in order to
avoid liability is that the call light was within the patients reach.

The most likely observation of the postictal phase to be seen after a patient experiences
a tonic-clonic seizure is confusion followed by deep sleep.
The nursing intervention that is a priority during the postictal phase is to assess the
patients breathing pattern.