Which of the following describes status epilepticus? (Select all that apply.)

Seizure lasting greater than 5 minutes.

Only occurs with clonic type seizures assessment.

Can lead to permanent brain damage from hypoxia.

A state of continuous seizure activity.

Answer and Explanation

Correct Answer : A,C,D

Choice A rationale

A seizure lasting greater than 5 minutes is a critical diagnostic criterion for status epilepticus. This prolonged duration signifies a failure of the normal inhibitory mechanisms that typically terminate seizure activity, necessitating urgent medical intervention to prevent potential neurological damage from sustained neuronal hyperexcitation.

Choice B rationale

Status epilepticus is not limited to only clonic type seizures. It can manifest as any type of seizure, including tonic, myoclonic, or absence seizures, occurring continuously or in rapid succession without full recovery of consciousness between episodes. This broad presentation highlights the diverse pathophysiology of uncontrolled neural discharge.

Choice C rationale

Sustained seizure activity in status epilepticus significantly increases metabolic demand and can lead to neuronal excitotoxicity and hypoxia. Prolonged oxygen deprivation and glucose depletion in brain tissue can result in irreversible neuronal injury and permanent structural brain damage, emphasizing the need for rapid intervention.

Choice D rationale

Status epilepticus is defined as a state of continuous seizure activity, or recurrent seizures without full recovery of consciousness between episodes. This persistent abnormal neuronal discharge in the brain signifies a medical emergency due to the high risk of neurological damage, systemic complications, and even mortality if untreated.

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Correct Answer is B

Explanation

Choice A rationale

While increased protein intake is beneficial for tissue repair and overall healing, it is not the immediate priority in acute osteomyelitis. The primary concern is eradicating the bacterial infection, which causes systemic inflammation and bone destruction. Nutritional support is supportive therapy, not the initial life-saving intervention.

Choice B rationale

Acute osteomyelitis is a severe bone infection, often bacterial. Administering antibiotics directly targets the causative microorganisms, preventing further bone destruction, systemic sepsis, and potentially life-threatening complications. Prompt antimicrobial therapy is crucial for controlling the infection and preserving bone integrity, making it the highest priority intervention.

Choice C rationale

Pain management is important in osteomyelitis, but teaching relaxation breathing, while helpful for comfort, does not address the underlying pathology. The infection itself poses a greater immediate threat than the pain. Effective pain relief often follows successful treatment of the infection and reduction of inflammation.

Choice D rationale

Antipyretic therapy addresses fever, a symptom of infection, but does not treat the infection itself. While important for comfort and reducing metabolic demands, it is a supportive measure. The priority is to eliminate the bacterial pathogen causing the fever and bone destruction through targeted antibiotic therapy.

Correct Answer is ["0.4"]

Explanation

Step 1 is to convert grams to milligrams. 3 g × 1000 mg/g = 3000 mg.

Step 2 is to calculate the volume to administer. (250 mg ÷ 3000 mg) × 5 mL = 0.4166. mL.

Step 3 is to round to the nearest tenth. 0.4 mL. The nurse should administer 0.4 mL per dose.

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Which of the following describes status epilepticus? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has acute osteomyelitis. Which of the following interventions is the nurse's priority?

Correct Answer is B

Explanation

A nurse is preparing to administer 250 mg of an antibiotic IM. Available is 3 g/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.4"]

Explanation

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