A nurse is planning care for a client who has status epilepticus.

Which of the following interventions is the nurse's priority to include?

Administer phenytoin IV bolus to the client.

Administer diazepam intravenously to the client.

Provide the client oxygen at 6 L/min using a nasal cannula.

Turn the client to the lateral position during seizure activity.

Answer and Explanation

The Correct Answer is B

The priority intervention for a nurse planning care for a client who has status epilepticus is to administer diazepam intravenously to the client.
Diazepam is a benzodiazepine medication that can help stop seizure activity and is often used as a first-line treatment for status epilepticus.
Choice A is incorrect because while phenytoin can be used to treat seizures, it is not typically used as a first-line treatment for status epilepticus.
Choice C is incorrect because while providing oxygen can be an important intervention for clients experiencing seizures, it is not the priority intervention.
Choice D is incorrect because while turning the client to the lateral position during seizure activity can help prevent aspiration, it is not the priority intervention.

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Correct Answer is A

Explanation

This statement indicates an understanding of the teaching because cool, clammy skin is a common symptom of hypoglycemia.
Choice B is incorrect because acetone breath is a symptom of hyperglycemia (high blood sugar), not hypoglycemia (low blood sugar).
Choice C is incorrect because Kussmaul respirations (deep and labored breathing) are a symptom of hyperglycemia, not hypoglycemia.
Choice D is incorrect because increased urine output is a symptom of hyperglycemia, not hypoglycemia.

A. Antithrombotic. B. Diuretic. C. Anticonvulsant. D. Opioid analgesic.

Correct Answer is A

Explanation

The nurse should ensure that the client is discharged with antithrombotic pharmacologic therapy.

Antithrombotic medications help prevent blood clots from forming and can reduce the risk of another ischemic stroke.
Choice B is wrong because diuretics are used to treat fluid retention and high blood pressure and are not typically used for stroke prevention.
Choice C is wrong because anticonvulsants are used to prevent seizures and are not typically used for stroke prevention.
Choice D is wrong because opioid analgesics are used to treat pain and are not typically used for stroke prevention.

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A nurse is planning care for a client who has status epilepticus. Which of the following interventions is the nurse's priority to include?

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A nurse is planning care for a client who has status epilepticus.

Which of the following interventions is the nurse's priority to include?