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Neurological Nursing Care Flashcards

6 cards from real AMSN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 6 Neurological Nursing Care flashcards as text

  1. A patient with myasthenia gravis receives pyridostigmine (Mestinon). The nurse should administer this medication:

    Answer: 30 minutes before meals

    Pyridostigmine should be given 30 minutes before meals so peak drug effect coincides with swallowing, reducing aspiration risk.

  2. The nurse differentiates a myasthenic crisis from a cholinergic crisis in a patient with myasthenia gravis. Which finding suggests a cholinergic crisis?

    Answer: SLUDGE symptoms: salivation, lacrimation, urination, defecation, GI upset, emesis

    Cholinergic crisis from excessive anticholinesterase medication causes SLUDGE symptoms due to excessive acetylcholine stimulation.

  3. Which patient position is safest for a patient who had a lumbar puncture (LP) 30 minutes ago?

    Answer: Flat or prone for 1–4 hours per facility protocol

    Remaining flat after LP reduces the risk of post-lumbar puncture headache caused by CSF leakage through the puncture site.

  4. A patient taking carbamazepine (Tegretol) for seizure management requires monitoring for which serious adverse effect?

    Answer: Aplastic anemia and agranulocytosis

    Carbamazepine can cause potentially fatal hematologic reactions including aplastic anemia, requiring routine CBC monitoring.

  5. A patient with a recent ischemic stroke is on aspirin and clopidogrel (Plavix) dual antiplatelet therapy. The nurse's priority teaching includes:

    Answer: Reporting unusual bleeding, bruising, or black tarry stools

    Dual antiplatelet therapy significantly increases bleeding risk; patients must recognize and report signs of bleeding including GI bleeding (melena).

  6. Which finding requires the nurse to hold a scheduled dose of phenobarbital and contact the provider?

    Answer: Respiratory rate of 8 breaths/min and decreased LOC

    Phenobarbital causes CNS and respiratory depression; a respiratory rate of 8/min with decreased LOC indicates dangerous toxicity.

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Sources & references

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  1. msncb.org — Score validity, eligibility, exam format, passing score, time limit, fees, late registration, retake fee, retake policy, score release · verified Oct 2026
  2. pearsonvue.com — Test delivery · verified Oct 2026