A newly diagnosed epilepsy patient is prescribed diazepam. The nurse understands that this medication causes which of the following adverse effects?
Tachycardia
Increased tendon reflexes
CNS depression
Nervousness
The Correct Answer is C
Choice A reason:
Tachycardia is not a common adverse effect of diazepam. While benzodiazepines like diazepam can cause changes in heart rate, they typically do not lead to tachycardia as a primary side effect.
Choice B reason:
Increased tendon reflexes are not associated with diazepam use. In fact, diazepam can cause muscle relaxation, leading to decreased reflexes rather than increased ones.
Choice C reason:
CNS depression is a well-known adverse effect of diazepam. This medication enhances the effect of the neurotransmitter GABA, leading to sedation, drowsiness, and overall central nervous system depression.
Choice D reason:
Nervousness is generally not a side effect of diazepam. This medication is used to reduce anxiety and promote calmness, so it is more likely to alleviate nervousness rather than cause it.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:
Preparing to take the client for a STAT CT of the head is crucial to quickly diagnose a possible stroke. Rapid imaging is essential to determine the type of stroke (ischemic or hemorrhagic), guiding appropriate treatment and improving outcomes. This immediate action is key in stroke management.
Choice B reason:
Administering rtPA is an appropriate intervention for an ischemic stroke but only after confirmation through imaging. Without imaging, there is a risk of worsening a potential hemorrhagic stroke. Hence, it is not the initial priority before confirming the diagnosis.
Choice C reason:
Notifying a speech pathologist for an emergency consult is relevant for assessing and managing speech and swallowing issues but is not the immediate priority. The primary focus should be on diagnosing and addressing the cause of the acute symptoms.
Choice D reason:
Discussing precipitating factors that caused the symptoms can be part of the assessment but is not the priority in the acute phase. Immediate imaging and medical intervention take precedence to mitigate the effects of a potential stroke.
Correct Answer is D,A,C,B
Explanation
Choice A reason:
Pulling the fire alarm is a critical step to alert everyone in the facility to the fire and summon emergency responders. This should be done immediately after ensuring the safety of individuals.
Choice B reason:
Extinguishing the fire should be attempted only if it is safe to do so and if the fire is small and contained. This step comes after ensuring the safety of clients and alerting others.
Choice C reason:
Confine the fire by closing doors to prevent the spread of smoke and flames. This step helps to control the situation until the fire department arrives.
Choice D reason:
Rescuing clients is the first priority to ensure their safety. Moving clients to a safe area away from the fire should be the immediate response in a fire emergency.
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