Neuro NCLEX Questions and Answers with Rationale 100% Pass

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Neuro NCLEX Questions and Answers with Rationale 100% Pass A patient comes to the emergency department immediately after experiencing numbness of the face and an inability to speak, but while the p ... atient awaits examination, the symptoms disappear and the patient request discharge. The nurse stresses that it is important for the patient to be evaluated primarily because the patient has probably experienced a; a.) Transient ischemic attack b.) Ischemic stroke c.) Hemorrhagic stroke d.) MI ✔✔a.) Transient ischemic stroke Rationale: The patient has probably experienced a transient ischemic attack (TIA), which is a sign of progressive cerebral vascular disease- (A TIA is a temporary focal loss of neurologic function caused by ischemia of an area of the brain, usually lasting only about 3 hours. TIAs may be due to microemboli from heart disease or carotid or cerebral thrombi and are a warning of progressive disease. Evaluation is necessary to determine the cause of the neurologic deficit and provide prophylactic treatment if possible.) Aspirin is ordered for a patient who is admitted with a possible stroke. Which information obtained during the admission assessment indicates that the nurse should consult with the health care provider before giving the aspirin? a. The patient has dysphasia. b. The patient has atrial fibrillation. c. The patient states, "My symptoms started with a terrible headache." d. The patient has a history of brief episodes of right-sided hemiplegia. ✔✔c. The patient states, "My symptoms started with a terrible headache." Rationale: A sudden onset headache is typical of a subarachnoid hemorrhage, and aspirin is contraindicated. Atrial fibrillation, dysphasia, and transient ischemic attack (TIA) are not contraindications to aspirin use, so the nurse can administer the aspirin. A patient with a stroke experiences right-sided arm and leg paralysis and facial drooping on the right side. When admitting the patient, w [Show More]

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