A nurse is caring for a client who is experiencing status epilepticus. Which of the following medications should the nurse expect to administer?
Clonazepam
Lorazepam
Carbamazepine
Lamotrigine
The Correct Answer is B
A. Clonazepam: Clonazepam is a benzodiazepine used for chronic seizure management rather than acute seizure emergencies. It is not the first-line medication for rapidly terminating ongoing seizure activity in status epilepticus.
B. Lorazepam: Lorazepam is the first-line medication for status epilepticus due to its rapid onset and longer duration of action in the CNS. It effectively suppresses continuous seizure activity and is preferred in acute management settings.
C. Carbamazepine: Carbamazepine is used for long-term control of partial and generalized tonic-clonic seizures. It has a delayed onset and is not appropriate for immediate seizure termination.
D. Lamotrigine: Lamotrigine is a maintenance antiepileptic medication used for seizure prevention. It does not act quickly enough to manage active, prolonged seizures such as status epilepticus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Candidiasis: Candidiasis is a common fungal infection that is not nationally notifiable. While it may require treatment, it does not need to be reported to the state health department for public health surveillance.
B. Chlamydia: Chlamydia is a nationally notifiable sexually transmitted infection. Reporting to the state health department is required to monitor prevalence, track outbreaks, and implement public health interventions to reduce transmission.
C. Herpes simplex virus: Genital herpes infections are not generally reportable to public health authorities in most states, though some jurisdictions may require reporting under specific circumstances. It is not considered nationally notifiable in the same way as chlamydia.
D. Human papillomavirus: HPV infection is highly prevalent and usually asymptomatic, and it is not a nationally notifiable disease. Public health efforts focus on vaccination and screening rather than mandatory reporting.
Correct Answer is C
Explanation
A. Cleanse the insertion site of the drain using a circular motion toward the center: When cleaning a drain site, the proper technique is to cleanse in a circular motion from the center outward to prevent introducing microorganisms into the wound. Cleaning toward the center increases the risk of contamination.
B. Cleanse the wound starting at the bottom and moving upward: Wounds should be cleansed from the cleanest area to the least clean area, typically from top to bottom or from the incision outward, to reduce the risk of infection. Starting at the bottom can drag contaminants into the incision.
C. Irrigate the wound with a low-pressure flow of solution: Low-pressure irrigation is recommended to effectively remove debris and exudate without damaging granulation tissue. High-pressure irrigation can traumatize the wound bed and impede healing.
D. Irrigate the wound using a 10-mL syringe: A 10-mL syringe may produce high-pressure flow, which can harm delicate tissue. Wound irrigation should be performed using a method that provides gentle, controlled flow, often with larger-volume syringes or devices designed for low-pressure irrigation.
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