A client presents to the healthcare setting with an episode of status epilepticus. Which of the following rescue medications would be utilized in this scenario to assist in stopping the client's seizures?

benztropine (Cogentin)

phenytoin (Dilantin)

diazepam (Valium)

ethosuximide (Zarontin)

Answer and Explanation

The Correct Answer is C

A. Benztropine (Cogentin) is an anticholinergic used primarily for Parkinson's disease and does not have an effect on seizure activity.
B. Phenytoin (Dilantin) is an antiepileptic medication, but it is not typically used as a rescue medication for immediate cessation of seizures in status epilepticus; it is used for long-term management.
C. Diazepam (Valium) is a benzodiazepine that acts quickly to stop seizures and is commonly used in acute situations, including status epilepticus, due to its rapid onset of action.
D. Ethosuximide (Zarontin) is primarily used for absence seizures and is not indicated for status epilepticus.

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Correct Answer is ["C","E","F"]

Explanation

A. Rebound hypotension is more commonly associated with abrupt withdrawal of beta-blockers rather than a direct side effect, so it is not typically included as a side effect to expect while on the medication.
B. Vomiting is not a common side effect associated with propranolol; the nurse would not educate the client on this.
C. Bradycardia is a known side effect of propranolol, as it is a beta-blocker that decreases heart rate, so clients should be educated about monitoring their heart rate.
D. Tremors can be related to withdrawal from beta-agonists rather than propranolol, which may alleviate tremors in some individuals; thus, it's not a common side effect of the medication.
E. Propranolol can mask the symptoms of hypoglycemia (e.g., tachycardia), making it important for clients with diabetes to be aware of this potential effect.
F. Bronchoconstriction can occur in clients with reactive airway diseases, as propranolol non-selectively blocks beta receptors, so clients should be educated about this risk, especially if they have asthma or other pulmonary conditions.

A. Topical ointment B. Sublingual C. Transdermal patch D. Sustained-release

Correct Answer is B

Explanation

A. Topical ointment has a slower onset as it must be absorbed through the skin before it can exert its effects.
B. Sublingual nitroglycerin provides rapid relief of angina symptoms because it is absorbed quickly into the bloodstream through the mucous membranes in the mouth, allowing for an immediate effect.
C. Transdermal patches release nitroglycerin slowly over time, leading to a delayed onset of action.
D. Sustained-release formulations are designed for prolonged effects rather than rapid onset, making them slower to take effect compared to sublingual administration.

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A client presents to the healthcare setting with an episode of status epilepticus. Which of the following rescue medications would be utilized in this scenario to assist in stopping the client's seizures?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who suffers from hypertension and headaches is prescribed propranolol. The nurse would educate the client on which side effects associated with this medication?

Correct Answer is ["C","E","F"]

Explanation

A nurse is teaching a group of nurses about the administration of nitroglycerin. Which of the following routes of administration has the most rapid onset for the client?

Correct Answer is B

Explanation

A client presents to the healthcare setting and is ordered verapamil (Calan) to treat his hypertension. Which assessment finding by the nurse would determine if the medication should be held?

A nurse is teaching a client who has a new prescription for lithium to treat bipolar disorder. The nurse should instruct the client to ensure an adequate intake of which of the following dietary elements?

A nurse is caring for a client receiving febuxostat for long-term treatment of gout. Which of the following adverse effects should the nurse closely monitor for?

A nurse is assessing a client who has schizophrenia which has been treated with fluphenazine for several years. Which of the following findings should the nurse document as manifestations of tardive dyskinesia (TD)?

The nurse is preparing to discharge a client newly prescribed a progestin-only pill (POP) for contraceptive prevention. Which contraindication associated with POP would the nurse alert the healthcare provider?

A client is taking pyridostigmine for muscle weakness associated with myasthenia gravis. The nurse educates the client on which possible cholinergic side effects associated with this medication? (Select all that apply)

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