The nurse is caring for a client who is in status epilepticus. What medication should the nurse anticipate administering to halt the seizure immediately?
Intravenous phenobarbital.
Oral phenytoin.
Intravenous diazepam.
Oral lorazepam.
The Correct Answer is C
Choice A rationale
Intravenous phenobarbital can be used to treat status epilepticus, but it is not the first-line drug due to its slower onset of action compared to benzodiazepines. Rapid intervention is critical in status epilepticus, and phenobarbital is generally reserved for refractory cases.
Choice B rationale
Oral phenytoin is used for long-term control of seizures but is not effective for immediate cessation of status epilepticus. It takes longer to reach therapeutic levels and is not suitable for acute management.
Choice C rationale
Intravenous diazepam is a benzodiazepine with a rapid onset of action, making it effective in stopping seizures immediately. It enhances GABA activity, which has an inhibitory effect on neuronal firing, providing quick control of status epilepticus. This rapid effect is crucial for minimizing neuronal damage and other complications.
Choice D rationale
Oral lorazepam is effective for long-term management of seizures but is not appropriate for immediate treatment of status epilepticus. The oral route delays absorption and onset of action, making it unsuitable for acute seizure control. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Tactile agnosia is the inability to recognize objects through touch, not vision. This condition affects the somatosensory cortex, impacting tactile processing.
Choice B rationale
Ataxia involves the loss of full control of bodily movements and coordination, not the inability to identify objects visually. It typically results from cerebellar dysfunction.
Choice C rationale
Visual agnosia is the inability to recognize familiar objects by sight despite having intact visual functioning. This condition often results from damage to the occipital or temporal lobes.
Choice D rationale
Positive Romberg sign indicates balance issues, typically seen when a client sways or falls when standing with eyes closed. It does not pertain to visual recognition deficits.
Correct Answer is ["D","E"]
Explanation
Choice A rationale
Exercise is important but should be done in a well-lit, comfortable environment. Exercising in a dark room is not specifically beneficial for migraine management and may not address trigger factors effectively.
Choice B rationale
Adequate sleep is crucial for migraine management. Advising to sleep no more than 5 hours at a time is incorrect; sufficient rest is necessary to prevent migraines.
Choice C rationale
St. John's Wort is commonly used for depression and anxiety but has no proven efficacy for migraine management. It may also interact with other medications.
Choice D rationale
Keeping a food diary helps identify dietary triggers that can lead to migraines. Tracking food intake can reveal patterns and specific triggers to avoid.
Choice E rationale
Maintaining a headache diary is important for tracking migraine frequency, duration, and potential triggers. It helps in managing and understanding the condition better.
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