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

Answer and Explanation

The Correct Answer is D

A.   Clonazepam. While also a benzodiazepine, it is not typically the first choice for immediate management of status epilepticus.

B.   Carbamazepine. Used for chronic management of seizures, not for acute seizure episodes like status epilepticus.
C.   Lamotrigine. Also used for long-term seizure management and not suitable for acute intervention in status epilepticus.
D.   Lorazepam is a benzodiazepine used as a first-line treatment for status epilepticus due to its rapid onset of action and efficacy in stopping seizures quickly.

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Correct Answer is C

Explanation

A. While metronidazole is an antimicrobial medication, it does not pose a significant biohazard risk, and standard precautions for medication spills would suffice.

B. Ampicillin sodium is an antibiotic medication and does not pose a significant biohazard risk, and standard precautions for medication spills would suffice.
C. Doxorubicin hydrochloride is a cytotoxic chemotherapy medication that poses a significant biohazard risk due to its potential carcinogenic and mutagenic properties. Specific facility procedures for handling cytotoxic spills should be followed.
D. Phenytoin is an antiepileptic medication and does not pose a significant biohazard risk, and standard precautions for medication spills would suffice.

A. Complete an incident report. B. Monitor the client's aPTT levels. C. Notify the risk manager. D. Check the client for indications of bleeding.

Correct Answer is D

Explanation

A. While completing an incident report is important for addressing the medication error and implementing corrective actions, the immediate priority is to assess the client's condition for signs of bleeding, which could be life-threatening.
B. Monitoring aPTT levels is important to assess the client's response to heparin therapy, but it does not address the immediate risk of bleeding from the overdose.
C. Notifying the risk manager is essential for reporting the medication error and implementing strategies to prevent future occurrences, but the nurse's first action should be to assess the client's condition for any indications of bleeding.
D. Administering a high dose of heparin increases the risk of bleeding, so the nurse should first assess the client for any signs or symptoms of bleeding, such as unexplained bruising, hematuria, or hypotension, to ensure timely intervention and prevent complication.

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A nurse is caring for a client who is experiencing status epilepticus. Which of the following medications should the nurse expect to administer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer an IV medication to a client and accidently punctures the IV bag, causing the medication to leak on the counter. Which of the following medications requires the nurse to follow facility procedures in the safe handling of a biohazardous material spill?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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