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 A
Explanation
Choice A rationale
CSF analysis and MRI are crucial in diagnosing multiple sclerosis (MS). CSF may show elevated levels of oligoclonal bands, indicative of immune system activity in the central nervous system. MRI can detect lesions or plaques in the brain and spinal cord, which are characteristic of MS.
Choice B rationale
Serum albumin and CT scan are not standard diagnostic tools for MS. Serum albumin is more relevant to liver function and nutritional status, while CT scans are less sensitive than MRIs in detecting MS lesions.
Choice C rationale
CSF proteins and angiography are not standard tests for diagnosing MS. While CSF protein levels might be altered in MS, angiography is used to visualize blood vessels and is not relevant to MS diagnosis.
Choice D rationale
Serum anti-acetylcholine antibodies and x-rays are not used to diagnose MS. Anti-acetylcholine antibodies are related to myasthenia gravis, and x-rays are not useful for visualizing MS lesions.
Correct Answer is D
Explanation
Choice A rationale
The Drug Enforcement Agency (DEA) primarily focuses on the enforcement of controlled substances laws and regulations, not the approval and testing of medications.
Choice B rationale
The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) accredits and certifies healthcare organizations and programs, but it does not control medication testing.
Choice C rationale
The Centers for Disease Control and Prevention (CDC) focuses on public health and disease prevention, not the scientific testing of medications.
Choice D rationale
The Food and Drug Administration (FDA) is responsible for protecting public health by ensuring the safety, efficacy, and security of human and veterinary drugs, biological products, and medical devices through rigorous scientific testing. .
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