_nclex_-25

pdf

School

Arizona State University *

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Course

3

Subject

Nursing

Date

Nov 24, 2024

Type

pdf

Pages

1

Uploaded by CorporalFinch4066

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75 NCLEX QUESTIONS WITH CORRECT SOLUTIONS LATEST UPDATE 2023/2024 A patient is being treated in the Neurology Unit for Meningitis. Which of these is a priority assessment for the nurse to make? 1. Assess the patient for nuchal rigidity 2. Determine the patient's past exposure to infectious organisms 3. Check the patient's WBC lab values 4. Monitor for increased lethargy and drowsiness - correct answer ✅ 1. Assess the patient for nuchal rigidity Incorrect - Although neck stiffness can be a symptom of Meningitis, it is not used to define meningitis, neither is it a sign of further neurological deterioration. 2. Determine the patient's past exposure to infectious organisms Incorrect - Although this is an important part of the history gathering process, and meningitis is most often caused by a viral or bacterial infection, it is not the priority assessment. 3. Check the patient's WBC lab values Incorrect - Although WBCs do rise during an infection like Mengingitis, it is not the priority assessment. 4. Monitor for increased lethargy and drowsiness Correct - Lethargy and drowsiness indicate a decreased level of consciousness, which is the cardinal sign of increased ICP (Intracranial Pressure), which can be life-threatening.
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