A 25-year-old patient with a history of epilepsy is brought to the emergency department after experiencing a generalized tonic-clonic seizure. Which of the following is the most appropriate initial action by the nurse?

Apply soft restraints to prevent injury during the seizure.

Administer intravenous lorazepam.

Obtain a detailed seizure history from the family.

Ensure the patient's airway is open and position them on their side.

Answer and Explanation

The Correct Answer is D

A.   Applying soft restraints during a seizure could increase the risk of injury and is not recommended.
B.   Administering lorazepam is often necessary in seizures, but the priority during a seizure is ensuring the airway is open and the patient is in a safe position.
C.   Obtaining a seizure history is important but should be done after managing the acute situation.
D.   The priority during a seizure is to ensure the patient's airway is open and to position them on their side to prevent aspiration and facilitate breathing.

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Correct Answer is ["90"]

Explanation

Calculate the required dosage: 5 mg/kg/hour × 72 kg = 360 mg/hour.

Determine the volume required based on the concentration: 360 mg ÷ (400 mg/100 mL) = 90 mL/hour.
The correct infusion rate is 90 mL/hour for this patient.

A. Discoloration of the fingers B. Swelling of the entire hand C. Pain in the forearm without hand involvement D. Positive Phalen's test E. Positive Tinel's sign F. Pain relief with wrist extension

Correct Answer is ["D","E"]

Explanation

A. Discoloration of the fingers is not typically associated with carpal tunnel syndrome, which mainly involves nerve compression.
B. Swelling of the entire hand is not a common finding in carpal tunnel syndrome, though localized swelling at the wrist may occur.
C. Pain in the forearm without hand involvement is not typical of carpal tunnel syndrome, which primarily affects the wrist and hand.
D. A positive Phalen's test is indicative of carpal tunnel syndrome, as it reproduces symptoms when the wrist is flexed.
E. A positive Tinel's sign, which involves tapping the median nerve at the wrist to elicit symptoms, is a classic test for carpal tunnel syndrome.
F. Pain relief with wrist extension is common in carpal tunnel syndrome, as extending the wrist relieves pressure on the median nerve.

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A 25-year-old patient with a history of epilepsy is brought to the emergency department after experiencing a generalized tonic-clonic seizure. Which of the following is the most appropriate initial action by the nurse?

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Naxlex Comprehensive Predictor Exams

A patient with a severe bacterial infection has been prescribed a continuous IV infusion of an antibiotic at a rate of 5 mg/kg/hour. The patient weighs 72 kg. The pharmacy provides the antibiotic in a concentration of 400 mg/100 mL what will be the infusion rate?

Correct Answer is ["90"]

Explanation

A nurse is assessing a patient who reports numbness and tingling in the fingers, especially at night. The patient works as a data entry clerk. Which findings support a diagnosis of carpal tunnel syndrome? (Select All that Apply.)

Correct Answer is ["D","E"]

Explanation

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