A patient is brought to the emergency department experiencing an active seizure. Which medication should the nurse anticipate administering as the first- line treatment to stop the seizure?
Intramuscular Phenobarbital
Intravenous Lorazepam
Oral Phenytoin
Subcutaneous Sumatriptan
The Correct Answer is B
A. Intramuscular Phenobarbital: While effective as an anticonvulsant, phenobarbital has a slower onset of action and is not the preferred first-line treatment for acute seizures. It is more commonly used in refractory cases or for long-term seizure control.
B. Intravenous Lorazepam: Lorazepam is a benzodiazepine and the first-line treatment for active seizures, especially status epilepticus. Given IV, it acts quickly by enhancing GABA activity, which calms neuronal excitability and stops seizure activity efficiently.
C. Oral Phenytoin: Phenytoin is used for long-term seizure prevention but is not effective for terminating ongoing seizures due to its slow onset when taken orally. It may be used after benzodiazepines to prevent seizure recurrence but not as the initial agent.
D. Subcutaneous Sumatriptan: Sumatriptan is used for treating acute migraines and has no role in managing seizures. It acts on serotonin receptors to relieve migraine symptoms, not to control abnormal neuronal discharges.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["7.9"]
Explanation
Convert the ounces to a fraction of a pound:
16 ounces = 1 pound.
6 ounces = 6/16 pound
= 0.375 pound
Total weight in pounds = 17 pounds + 0.375 pound = 17.375 pounds
1 kg= 2.2 pounds
Weight in kg = 17.375 pounds / 2.2 pounds/kg
=7.8977 kg
Round to the nearest tenth:
Rounded weight = 7.9 kg
Correct Answer is ["40"]
Explanation
Calculation:
Given quantity = 0.04 g (grams)
Desired unit = mg (milligrams)
Convert from g to mg
1 g = 1000 mg
0.04 g × 1000 mg/g
= 40 mg
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