NCLEX-RN Neuro & Musculoskeletal Flashcards

Complete the components of the FAST assessment for potential stroke:

Which finding is an ABSOLUTE contraindication for administering tissue plasminogen activator (tPA) to a client with an ischemic stroke?

What are the three components of Cushing's Triad indicating increased intracranial pressure?

Which position is appropriate for a client with increased intracranial pressure (ICP) to promote venous drainage?

What is the first-line drug CLASS used to stop seizure activity in status epilepticus?

Complete the description of this meningeal irritation sign:

Complete the description of this meningeal irritation sign:

A client with a T4 spinal cord injury reports a severe, pounding headache. Which assessment finding validates a suspicion of Autonomic Dysreflexia?

What is the PRIORITY nursing action for a client with a spinal cord injury suspecting Autonomic Dysreflexia (severe headache/hypertension)?

The nurse is teaching a client with Parkinson's disease how to prevent falls while walking. Which instruction is appropriate?

Name one common trigger that can exacerbate symptoms of Multiple Sclerosis (MS).

Interpret the Edrophonium (Tensilon) test results for Myasthenia Gravis crises:

Due to the ascending nature of paralysis in Guillain-Barré Syndrome, what is the priority body system to monitor?

Calculate the Glasgow Coma Scale (GCS) score: The client opens eyes to speech, speaks confused sentences, and localizes pain.

List the "5 Ps" used to assess for Compartment Syndrome.

A client with a cast reports severe burning pain unrelieved by opioids and tingling in the fingers. What is the priority collaborative intervention?

24 hours after a femur fracture, a client develops confusion and shortness of breath. Which assessment finding distinguishes Fat Embolism Syndrome (FES) from a Pulmonary Embolism (PE)?

When palpating a plaster cast, what does a localized "hot spot" indicate?

Complete the safety rule for Buck's Traction:

Following a total hip arthroplasty, which device is utilized to maintain alignment and prevent dislocation?

To prevent dislocation after hip replacement surgery, hip flexion must be maintained at less than how many degrees?

What is the primary purpose of using a Continuous Passive Motion (CPM) machine following a total knee replacement?

Select the appropriate exercise teaching for Osteoporosis:

What is the priority discharge teaching regarding medication for a client with osteomyelitis?

Compare the morning stiffness characteristics of Rheumatoid Arthritis (RA) and Osteoarthritis (OA):

Name one food high in purines that should be avoided by a client with Gout.

A client with a recent below-the-knee amputation reports shooting pain in the missing leg. What is the most appropriate nursing action?

Why should a client with a lower extremity amputation lie in the prone position for 20-30 minutes several times a day?

Which crutch gait is indicated for a client who is non-weight bearing on one leg?