Neurology Nclex Style Questions And Answers |48 Questions| With Correct Answers.

The nurse is caring for a child who had a seizure 15 minutes after sustaining a head injury. After assuring a patent airway, which of the following is the priority intervention? 1 Assess fluid and electrolyte status 2 Administer prescribed benzodiazepine 3 Monitor for postconcussive syndrome 4 Observe for signs of increased intracranial pressure {Ans: 2. If a seizure occurs within 30 minutes of a head injury, benzodiazepine is administered intravenously to stop the seizure. If the seizure continues, phenytoin may be administered. Although the remaining interventions of assessing fluid and electrolyte status, monitoring for postconcussive syndrome, and observing for increased intracranial pressure are appropriate, the priority intervention is to stop the seizure.}The nurse identifies which of the following as warning signs in a 12-month-old with cerebral palsy? Select all that apply: • [ ] 1. Weak or absent sucking • [ ] 2. Hypotonia • [ ] 3. Toe walking but unable to stand alone • [ ] 4. Absent or weak primitive reflex responses • [ ] 5. Toe walking while held, but unable to stand alone • [ ] 6. Athetoid (irregular, twisting) movement {Ans: 3. 5. 6. Warning signs for cerebral palsy in a