A nurse is caring for a client who has been experiencing repeated tonic-clonic seizures over the course of 30 minutes. After maintaining the client’s airway and turning the client on their side, which of the following medications should the nurse administer?

Diazepam IV

Lorazepam PO

Diltiazem IV

Clonazepam PO

Answer and Explanation

The Correct Answer is A

Choice A Reason

Diazepam IV is the correct choice for managing repeated tonic-clonic seizures, especially in the context of status epilepticus. Diazepam is a benzodiazepine that acts quickly to stop seizures by enhancing the effect of the neurotransmitter GABA. It is commonly used in emergency settings due to its rapid onset of action when administered intravenously.

Choice B Reason

Lorazepam PO is not the best choice in this scenario. While lorazepam is also a benzodiazepine effective in stopping seizures, the oral route is not suitable for immediate control of seizures. Intravenous administration is preferred for rapid action.

Choice C Reason

Diltiazem IV is incorrect. Diltiazem is a calcium channel blocker used primarily for managing hypertension and certain types of arrhythmias. It is not indicated for the treatment of seizures.

Choice D Reason

Clonazepam PO is not appropriate for immediate seizure control. Although clonazepam is a benzodiazepine used for seizure management, the oral route is not effective for rapid seizure termination. Intravenous administration of a benzodiazepine like diazepam or lorazepam is preferred.

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Correct Answer is A

Explanation

Choice A Reason:

Expressive aphasia, also known as Broca’s aphasia, is a common symptom of a left-hemisphere stroke. This condition affects the person’s ability to produce speech, although their comprehension may remain intact. The left hemisphere of the brain is typically responsible for language and speech functions, so damage to this area often results in expressive aphasia.

Choice B Reason:

Poor impulse control is more commonly associated with right-hemisphere strokes. The right hemisphere is involved in controlling behavior and emotions, so damage to this area can lead to impulsivity and poor judgment.

Choice C Reason:

Left hemiparesis, or weakness on the left side of the body, is typically a result of a right-hemisphere stroke. Strokes affect the opposite side of the body from the hemisphere where the stroke occurred. Therefore, a left-hemisphere stroke would more likely cause right-sided weakness or paralysis.

Choice D Reason:

Disorientation to place can occur with strokes affecting either hemisphere, but it is not a specific hallmark of left-hemisphere strokes. Cognitive impairments such as disorientation are more generalized and can result from various types of brain injuries.

A. Axillary temperature 37.2° C (99° F) B. Apical pulse 100/min C. Respiratory rate 30/min D. Blood pressure 140/84 mm Hg

Correct Answer is C

Explanation

Choice A Reason

Axillary temperature 37.2° C (99° F). This temperature is within the normal range and does not indicate an immediate need for intervention. Normal body temperature ranges from 36.1° C to 37.2° C (97° F to 99° F).

Choice B Reason

Apical pulse 100/min. While a pulse rate of 100 beats per minute is on the higher end of the normal range, it is not necessarily indicative of an immediate life-threatening condition. Normal resting heart rate for adults ranges from 60 to 100 beats per minute.

Choice C Reason

Respiratory rate 30/min. This is the correct answer. A respiratory rate of 30 breaths per minute is significantly higher than the normal range of 12 to 20 breaths per minute for adults. This could indicate respiratory distress or other complications that require immediate intervention.

Choice D Reason

Blood pressure 140/84 mm Hg. While this blood pressure reading is elevated and may require monitoring, it does not indicate an immediate life-threatening condition. Normal blood pressure is typically around 120/80 mm Hg, but a reading of 140/84 mm Hg is not uncommon and can be managed with appropriate care.

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A nurse is caring for a client who has been experiencing repeated tonic-clonic seizures over the course of 30 minutes. After maintaining the client’s airway and turning the client on their side, which of the following medications should the nurse administer?

Nursing Test Bank

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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