A nurse cares for a client who is experiencing status epilepticus. Which medication would the nurse prepare for administration?

Lorazepam

Atenolol

Phenytoin

Levetiracetam

Answer and Explanation

The Correct Answer is A

A.   Lorazepam is a benzodiazepine used as the first-line treatment for status epilepticus. It rapidly terminates seizures.
B.   A beta-blocker, atenolol is used for conditions like hypertension and angina, not for seizures.
C.   While phenytoin is an anti-seizure medication, it has a slower onset of action compared to lorazepam. It's used as a second-line agent in status epilepticus.
D.   Levetiracetam is an anti-epileptic drug, but not the first choice for acute seizure management like status epilepticus.

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Correct Answer is B

Explanation

A. A high CVP, not a low CVP, is typically associated with fluid overload.
B. A low CVP indicates decreased fluid volume, which is characteristic of hypovolemia. This is particularly relevant to a patient with multiple traumas who may have significant blood loss.
C. While left ventricular failure can contribute to hemodynamic instability, it's not directly correlated with a low CVP.
D. This would affect the oxygenation status of the blood, rather than the overall blood volume and CVP.

A. The drug is not given to clients who are taking anticoagulant or antiplatelet therapy. B. The drug is given in a bolus over the first 3 minutes followed by a continuous infusion. C. The recommended time for drug administration is within 90 minutes after admission to the emergency department. D. The maximum dosage of the drug, including the bolus, is 120 mg intravenously.

Correct Answer is B

Explanation

A. While there are strict inclusion and exclusion criteria for alteplase administration, this statement is overly broad. There are certain situations where anticoagulant or antiplatelet therapy can be managed to allow for alteplase use.
B. Alteplase is administered as a bolus over 1 minute, followed by an infusion over 60 minutes.
C. While time is critical in stroke treatment, the recommended window for alteplase administration is typically within 3-4.5 hours of symptom onset.
D. The maximum dose of alteplase is actually 0.9 mg/kg, up to a maximum of 90 mg.

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A nurse cares for a client who is experiencing status epilepticus. Which medication would the nurse prepare for administration?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is evaluating the central venous pressure (CVP) of a client who has sustained multiple traumas. Which of the following interpretations of a low CVP pressure should the nurse make?

Correct Answer is B

Explanation

The emergency department nurse is preparing an infusion of IV alteplase for a client who suffered a cerebrovascular accident (CVA). Which of the following statements is accurate about the administration of alteplase?

Correct Answer is B

Explanation

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