A patient is admitted to the emergency department with severe recurrent convulsive seizures.
Would the nurse expect to order for the use in emergency control of status epileptic?
Ethosuximide (Zarontin).
Diazepam (Valium).
Phenobarbital (Luminal).
Phenytoin (Dilantin).
The Correct Answer is B
Choice A rationale
Ethosuximide (Zarontin) is used to treat absence seizures and is not suitable for emergency control of status epilepticus. It primarily works by affecting the T-type calcium channels in the brain.
Choice B rationale
Diazepam (Valium) is used in the emergency control of status epilepticus due to its fast-acting anticonvulsant properties. It enhances the effect of the neurotransmitter GABA, leading to an inhibitory effect on neuronal activity.
Choice C rationale
Phenobarbital (Luminal) is a barbiturate used for long-term management of epilepsy but is less preferred for immediate emergency control of status epilepticus due to its slower onset of action.
Choice D rationale
Phenytoin (Dilantin) can be used for the maintenance treatment of seizures, but it is less effective for the immediate control of status epilepticus compared to benzodiazepines like diazepam.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Anticonvulsant medications are not taken on an as-needed basis. They require consistent dosing to maintain therapeutic levels and prevent seizure activity effectively.
Choice B rationale
The goal of anticonvulsant therapy is not just temporary seizure control but long-term management. Medications are continued even after achieving seizure-free status to prevent recurrence.
Choice C rationale
While some patients might achieve control within a few years, there is no standard duration for stopping anticonvulsants. Treatment duration varies based on individual response and risk of recurrence.
Choice D rationale
Anticonvulsant medications are typically taken for a lifetime to manage epilepsy. Long-term therapy is crucial for maintaining seizure control and preventing breakthrough seizures.
Correct Answer is D
Explanation
Choice A rationale
Deoxygenated blood from the lungs would not flow to the left atrium or through the pulmonary artery.
Choice B rationale
Deoxygenated blood from the lungs would not enter the right atrium or flow through the pulmonary artery.
Choice C rationale
Oxygenated blood from the lungs does not enter the right atrium through the pulmonary veins.
Choice D rationale
Correct, oxygenated blood from the lungs enters the left atrium through the pulmonary veins.
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