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).

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale

While tinnitus can occur with certain medications, it is not a common adverse effect of lidocaine.

Choice B rationale

Dizziness is a common adverse effect of lidocaine and can indicate an issue with its administration.

Choice C rationale

Dysphagia is not a typical adverse effect of lidocaine administration.

Choice D rationale

Excessive bruising is not associated with lidocaine but rather with anticoagulants or trauma.

A. Increases hypoperfusion of basilar artery vascular bed. B. Decreases hypoperfusion of basilar artery vascular bed. C. Increases hyperperfusion of basilar artery vascular bed. D. Decreases hyperperfusion of basilar artery vascular bed.

Correct Answer is D

Explanation

Choice A rationale

Ergotamine does not increase hypoperfusion. It is used to constrict blood vessels to reduce blood flow.

Choice B rationale

Ergotamine does not decrease hypoperfusion. It is used to constrict blood vessels to reduce blood flow.

Choice C rationale

Ergotamine does not increase hyperperfusion. It is used to constrict blood vessels to reduce blood flow.

Choice D rationale

Ergotamine decreases hyperperfusion by constricting blood vessels in the basilar artery vascular bed, reducing the blood flow to relieve migraine headaches. .

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The emergency department nurse is administering IV lidocaine to patients.What adverse effect of lidocaine therapy should the nurse assess for?

Correct Answer is B

Explanation

What is the action of ergotamine?

Correct Answer is D

Explanation

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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?