A client presents to the emergency department actively having seizure activity.
The paramedics report the client has a history of epilepsy but her family doesn't know the names of her current medications.
The priority for this patient is:
Obtain a blood specimen to check for serum drug levels.
Administer lorazepam IV to stop the convulsive activity.
Check the client's blood pressure and heart rate.
The Correct Answer is B
Choice A rationale
Checking serum drug levels provides insight into compliance and effectiveness but doesn’t address immediate seizure cessation, prioritizing treatment over diagnostic assessment.
Choice B rationale
Administering lorazepam IV halts seizure activity quickly by enhancing GABA activity, calming neuronal excitation, and stabilizing the patient’s condition, reducing potential complications.
Choice C rationale
Monitoring vitals like blood pressure and heart rate is essential but doesn’t directly address convulsive activity, which requires immediate pharmacological intervention to prevent status epilepticus progression. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Extremely high systolic BP (220 mmHg), bradycardia (HR 30), and altered respirations (RR 6) suggest Cushing's triad, a hallmark of increased ICP due to severe brain injury.
Choice B rationale
Hypothermia (T92.5°F) and hypotension (BP 90/64) do not indicate increased ICP but may result from shock or hypothermic conditions affecting autonomic responses.
Choice C rationale
Hyperthermia (T103.1°F) and tachycardia (HR 132) are commonly seen in infection or hypermetabolic states, not directly pointing to raised ICP.
Choice D rationale
Mild hypertension (BP 200/94) with normal HR (90) and RR (18) does not fit the classic signs of increased ICP like Cushing's triad.
Correct Answer is ["0.1"]
Explanation
Step 1 is (225 mcg ÷ 1000 mcg) × 0.50 tablets.
Answer is 0.1 tablets.
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