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 C
Explanation
Choice A rationale
Renal function tests are not specifically required for propranolol administration unless there are existing renal concerns. Propranolol is primarily metabolized by the liver, not the kidneys.
Choice B rationale
While it is important to consider drug interactions, the primary concern with propranolol in this patient is the history of asthma and diabetes, not herbal medication interactions.
Choice C rationale
Propranolol, a non-selective beta-blocker, can exacerbate asthma symptoms and mask hypoglycemia in diabetic patients. Consulting with the doctor to consider a different antihypertensive medication that does not have these risks is a prudent approach.
Choice D rationale
While monitoring serum glucose levels is important, administering propranolol in a patient with a history of asthma and diabetes poses significant risks. An alternative medication should be considered. .
Correct Answer is D
Explanation
Choice A rationale
While nicotine use is a health concern, it does not directly relate to the safety of atorvastatin (Lipitor). However, smoking cessation is advisable for overall cardiovascular health.
Choice B rationale
Caffeine intake is not a primary concern related to the safety of atorvastatin. Monitoring other lifestyle factors like diet and exercise is more relevant.
Choice C rationale
Herbal therapy may interact with atorvastatin, but the primary safety concern is alcohol intake, which can increase the risk of liver damage when combined with atorvastatin.
Choice D rationale
Alcohol consumption is a significant concern when taking atorvastatin, as it can increase the risk of liver damage. Patients are advised to limit alcohol intake to prevent adverse effects. .
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