A nurse is caring for a client who is experiencing status epilepticus. Which of the following medications should the nurse expect to administer?
Clonazepam
Carbamazepine
Lamotrigine
Lorazepam
The Correct Answer is D
A) Clonazepam: While clonazepam can be used for seizure management, it is not the first-line treatment for status epilepticus.
B) Carbamazepine: This medication is used for the long-term management of epilepsy but is not suitable for the acute treatment of status epilepticus.
C) Lamotrigine: Similar to carbamazepine, lamotrigine is used for long-term seizure control but is not indicated for acute episodes like status epilepticus.
D) Lorazepam: This is the correct answer. Lorazepam is a benzodiazepine and is commonly used as a first-line treatment for status epilepticus due to its rapid onset and effectiveness in terminating prolonged seizures. Administering lorazepam can help stabilize the client and prevent further complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) Insert a pillow under the client's knees: While placing a pillow under the knees may promote comfort, it can lead to increased pressure on the lower back and may not effectively address potential compression of the vena cava, which is crucial in maintaining optimal placental blood flow during surgery.
B) Assist the client into the lithotomy position: The lithotomy position can increase pressure on the abdominal vessels, potentially compromising blood flow to the placenta. This position should be used cautiously, especially in clients with concerns regarding blood flow.
C) Place a wedge under one of the client's hips: This action is appropriate as it helps to displace the uterus laterally, reducing pressure on the inferior vena cava. This maneuver improves venous return and maintains placental perfusion, which is critical during cesarean delivery.
D) Position the client in reverse Trendelenburg: Although this position elevates the upper body, it does not specifically address the potential for vena cava compression caused by the weight of the uterus. It is less effective than placing a wedge under the hips in terms of preserving placental blood flow.
Correct Answer is A
Explanation
A) Phlebitis: The presence of redness and warmth around the peripheral catheter insertion site is indicative of phlebitis, which is inflammation of the vein. This condition can result from mechanical irritation, chemical irritation from the infusion, or infection. It is crucial to monitor and document these findings promptly.
B) Extravasation: This occurs when intravenous (IV) fluids or medications leak into the surrounding tissue, causing tissue damage. Symptoms typically include pain, swelling, and possible blistering, rather than just redness and warmth.
C) Infiltration: This refers to the unintentional infusion of fluid into the surrounding tissue due to the catheter becoming dislodged or puncturing the vein. It is characterized by swelling, coolness, and tenderness at the site rather than warmth and redness.
D) Circulatory overload: This condition results from excessive fluid volume in the circulatory system, leading to symptoms such as shortness of breath, hypertension, and peripheral edema. It is not associated with localized redness and warmth at the catheter site.
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