The healthcare provider has prescribed intravenous (IV) lorazepam for the patient in status epilepticus. During administration, which is the priority assessment by the nurse?

Drug dependence

Cardiac rhythm

Pulse oximetry

Pain level

Answer and Explanation

The Correct Answer is C

A. While drug dependence can be a concern with long-term use, it is not the immediate priority in an emergency setting where the goal is to stabilize the patient in status epilepticus.

B. Cardiac rhythm monitoring is important when administering certain medications, but lorazepam primarily affects the central nervous system and respiratory system, making oxygen saturation monitoring more critical.

C. Pulse oximetry is the priority assessment as IV lorazepam can depress the respiratory system, leading to hypoxia. Monitoring oxygen saturation helps ensure the patient maintains adequate respiratory function during administration.

D. Assessing pain is important in patient care, but it is not the priority in managing a patient in status epilepticus, where stabilization is essential.

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Correct Answer is B

Explanation

A. Appetite changes are a possible side effect but are not as critical to report immediately.

B. Severe abdominal pain may indicate pancreatitis or liver issues, both serious side effects of valproic acid that require prompt medical attention.

C. Mild indigestion can be a common, non-serious side effect of valproic acid and does not typically require urgent attention.

D. Weight gain is another common side effect of valproic acid but does not necessitate immediate reporting unless it becomes significant.

A. "This medication will decrease how hard your heart works." B. "It is prescribed to dilate your coronary arteries." C. "It will prevent any irregular heartbeats." D. "This medication makes your heart beat more forcefully."

Correct Answer is A

Explanation

A. Metoprolol, a beta-blocker, decreases the heart rate and reduces myocardial oxygen demand by lowering the workload on the heart, which is beneficial for managing unstable angina.

B. While metoprolol has some vasodilatory effects, its primary action is to reduce heart workload, not to dilate coronary arteries.

C. Although beta-blockers can reduce the risk of arrhythmias, the main purpose in angina management is to decrease cardiac workload.

D. Metoprolol does not make the heart beat more forcefully; instead, it decreases the force of contraction to reduce myocardial oxygen consumption.

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The healthcare provider has prescribed intravenous (IV) lorazepam for the patient in status epilepticus. During administration, which is the priority assessment by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching a patient who is prescribed valproic acid for seizures. The nurse would identify that the patient understands the teaching for the medication when they state, "I will notify my healthcare provider if I experience:

Correct Answer is B

Explanation

The nurse is caring for a patient diagnosed with unstable angina who is prescribed metoprolol. The patient asks the nurse, "Why do I have to take this medication?" What response by the nurse is most accurate?

Correct Answer is A

Explanation

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