A nurse is caring for a patient that is experiencing status epilepticus. Which of the following prescribed medications should the nurse anticipate to administer?
Lorazepam
Lisinopril
Phenytoin
Atenolol
The Correct Answer is A
A. Lorazepam. Lorazepam (a benzodiazepine) is the first-line medication for status epilepticus because it acts quickly to stop seizures. It enhances gamma-aminobutyric acid (GABA) activity, leading to rapid suppression of neuronal excitability. It is usually administered intravenously (IV) for fast onset.
B. Lisinopril. Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor used for hypertension and heart failure. It has no role in stopping seizures or treating status epilepticus.
C. Phenytoin. Phenytoin is used for long-term seizure control but is not the first-line medication for stopping active seizures. It is often administered after benzodiazepines to help prevent seizure recurrence rather than terminating the ongoing seizure.
D. Atenolol. Atenolol is a beta-blocker used for hypertension and tachycardia. It does not have anticonvulsant properties and is not used to treat seizures.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. L1-2. Clients with a lumbar spinal cord injury at L1-L2 may have partial function of the lower extremities, allowing for ambulation with long leg braces and assistive devices. This level of injury typically spares some hip flexor and knee extensor function, enabling limited walking with support.
B. T6-7. A thoracic spinal cord injury at T6-T7 results in paralysis of the lower extremities (paraplegia), making independent ambulation unlikely. Clients with mid-thoracic injuries require a wheelchair for mobility, though some may use braces for short-distance standing or walking with extensive support.
C. C7-8. A cervical spinal cord injury at C7-C8 leads to quadriplegia with partial upper limb function but no voluntary lower extremity movement. These clients rely on wheelchairs for mobility and cannot ambulate with braces.
D. T1-2. A T1-T2 injury results in complete lower extremity paralysis, preventing functional ambulation. Clients at this level typically use manual wheelchairs for mobility and retain full arm and hand function for self-care and wheelchair propulsion.
Correct Answer is C
Explanation
A: "Hemorrhagic strokes result in brain tissue death due to lack of blood flow, whereas ischemic strokes result from bleeding in the brain." Ischemic strokes occur when a blood vessel becomes blocked, often due to a clot, preventing blood flow and leading to brain tissue damage from lack of oxygen. In contrast, hemorrhagic strokes involve bleeding into or around the brain, which increases pressure and can cause immediate brain injury.
B: "Hemorrhagic strokes are typically treated with clot-busting medications, while ischemic strokes are treated with surgery to repair the ruptured vessel." Ischemic strokes are often treated with thrombolytic agents, or clot-busting medications, aimed at dissolving the clot and restoring blood flow to the affected area of the brain. Hemorrhagic strokes, on the other hand, may require surgical interventions, such as clipping or coiling of aneurysms, or other measures to stop the bleeding and relieve pressure on the brain.
C: "Ischemic strokes are generally more common than hemorrhagic strokes." Ischemic strokes account for approximately 87% of all strokes, making them significantly more prevalent compared to hemorrhagic strokes. The higher incidence can be attributed to factors such as atherosclerosis, hypertension, and diabetes, which increase the risk of clots forming in the arteries supplying the brain.
D: "Ischemic strokes are caused by a rupture of a blood vessel, while hemorrhagic strokes are caused by a blockage in a blood vessel." Ischemic strokes result from a blockage in a blood vessel, typically due to a clot, which disrupts blood flow to the brain. Hemorrhagic strokes arise from the rupture of a blood vessel, leading to bleeding in or around the brain.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.