A patient has seizure activity that is continuous in nature; the seizure subsides and then immediately resumes and continues. The nurse identifies this emergent condition as

status epilepticus.

anticonvulsant syndrome.

syphilitic posturing.

positive Babinski reflex

Answer and Explanation

The Correct Answer is A

A. Status epilepticus: Status epilepticus is a life-threatening condition where seizure activity is continuous or occurs in rapid succession without recovery between seizures.

B. Anticonvulsant syndrome: This term is not a recognized medical condition.

C. Syphilitic posturing: This term is not associated with seizure disorders and is not a recognized condition.

D. Positive Babinski reflex: This indicates an upper motor neuron lesion but is not related to continuous seizure activity.

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Correct Answer is C

Explanation

A. The brain cells became edematous because of a blood to tissue shift of fluid: This describes cerebral edema, which is not typically caused by hyperglycemia.

B. Hyperinsulinemia caused hypoglycemia and a tonic-clonic seizure: The scenario describes hyperglycemia, not hypoglycemia.

C. The brain cells became dehydrated because of fluid shifting out of the cells:. In hyperglycemic hyperosmolar syndrome (HHS), extremely high blood glucose leads to increased serum osmolality, causing water to move out of brain cells, leading to dehydration and altered consciousness.

D. Fluid volume overload caused higher pressure in the brain tissue: Fluid volume overload is not the primary issue in this scenario; rather, dehydration is the concern due to hyperglycemia.

A. An increased serum calcitonin level. B. An increased number of osteocytes. C. Elevated plasma magnesium levels. D. An increased parathyroid hormone (PTH) level.

Correct Answer is D

Explanation

A. An increased serum calcitonin level: Calcitonin is involved in lowering blood calcium levels, so increased levels would not indicate hypercalcemia but rather a compensatory mechanism to lower calcium.

B. An increased number of osteocytes: Osteocytes are bone cells, and their number is not a direct indicator of hypercalcemia. Osteoclasts and osteoblasts are more relevant to bone metabolism.

C. Elevated plasma magnesium levels: Elevated magnesium levels are not specifically indicative of hypercalcemia and can be related to other conditions.

D. An increased parathyroid hormone (PTH) level: Hypercalcemia can be associated with increased PTH levels, particularly in primary hyperparathyroidism. Elevated PTH can lead to increased calcium release from bones.

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A patient has seizure activity that is continuous in nature; the seizure subsides and then immediately resumes and continues. The nurse identifies this emergent condition as

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Naxlex Comprehensive Predictor Exams

A patient with diabetes mellitus (DM) developed a serum glucose of 900 and an elevated serum osmolality. The patient then became unconscious. What pathological process most likely caused the altered neurologic status?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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