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 A

Explanation

Choice A rationale

Using an “ouch” scale, such as the Wong-Baker FACES Pain Rating Scale, is appropriate for young children. It allows them to express their pain intensity in a way that is understandable and relatable to their age group.

Choice B rationale

Encouraging a six-year-old to request pain medication may not be effective, as they might not understand when they need it or might be reluctant to ask.

Choice C rationale

Waiting to administer pain medication until the child begins to cry can delay pain relief, leading to unnecessary discomfort and anxiety.

Choice D rationale

Asking a young child to rate their pain on a scale of 1 to 10 might be confusing and less effective than using a more child-friendly method like the “ouch” scale.

A. True. B. False.

Correct Answer is A

Explanation

Choice A rationale

Cough and sneeze reflexes indeed serve to clear the airway of irritants and secretions.

Choice B rationale

Stating false would be incorrect as these reflexes are protective mechanisms for the respiratory system. .

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a six-year-old child who had surgery that morning.The child is awake and lying very still in bed.What should the nurse do?

Correct Answer is A

Explanation

The purpose of the cough and sneeze reflexes is to clear the airway.

Correct Answer is A

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?