A client presents to the emergency department actively having seizure activity.
The paramedics report the client has a history of epilepsy but her family doesn't know the names of her current medications.
The priority for this patient is:

Obtain a blood specimen to check for serum drug levels.

Administer lorazepam IV to stop the convulsive activity.

Check the client's blood pressure and heart rate.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Checking serum drug levels provides insight into compliance and effectiveness but doesn’t address immediate seizure cessation, prioritizing treatment over diagnostic assessment.

Choice B rationale

Administering lorazepam IV halts seizure activity quickly by enhancing GABA activity, calming neuronal excitation, and stabilizing the patient’s condition, reducing potential complications.

Choice C rationale

Monitoring vitals like blood pressure and heart rate is essential but doesn’t directly address convulsive activity, which requires immediate pharmacological intervention to prevent status epilepticus progression. .

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Correct Answer is A

Explanation

Choice A rationale

Hemiparesis on the right side and ataxia are common manifestations of left-sided stroke, where the motor cortex affecting the contralateral side is impaired, leading to muscle weakness and coordination loss.

Choice B rationale

Spasticity of the left arm suggests motor impairment on the ipsilateral side, which is inconsistent with the nature of left-sided strokes affecting the contralateral side. Apraxia lacks relation to motor loss here.

Choice C rationale

Impulsive behavior and hostility are more indicative of frontal lobe involvement, not motor loss secondary to left-sided strokes. These behaviors do not represent motor manifestations.

Choice D rationale

Visual defects like homonymous hemianopia and diplopia may occur in stroke but are not direct indicators of motor loss. They relate to occipital lobe or optic pathway damage.

A. By threading it through the femoral artery to the brain. B. To monitor intracranial pressure (ICP) and drain cerebral spinal fluid. C. After the patient has an electroencephalogram (EEG). D. Due to having minimal risk for infection.

Correct Answer is B

Explanation

Choice A rationale

Ventriculostomies are inserted directly through the skull into the ventricles, not via the femoral artery. This method provides direct access to cerebrospinal fluid for drainage and pressure monitoring.

Choice B rationale

Ventriculostomies are placed to monitor intracranial pressure and drain excess cerebrospinal fluid, managing conditions like hydrocephalus or elevated intracranial pressure following brain injury or surgery.

Choice C rationale

An EEG monitors electrical brain activity but is unrelated to ventriculostomy placement. Ventriculostomy focuses on fluid drainage and pressure management, not on electrical diagnostic procedures.

Choice D rationale

Ventriculostomies carry a significant risk of infection due to the invasive nature of the procedure. Proper aseptic technique is critical to minimizing, not eliminating, the risk of infection.

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A client presents to the emergency department actively having seizure activity.The paramedics report the client has a history of epilepsy but her family doesn't know the names of her current medications.The priority for this patient is:

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client experiencing motor loss as the result of a left-sided stroke.Which clinical manifestations would the nurse document?

Correct Answer is A

Explanation

The nurse is educating on the placement of a ventriculostomy (intraventricular catheter) to the family of a patient diagnosed with a brain injury.The nurse states, "The ventriculostomy is placed:

Correct Answer is B

Explanation

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A client presents to the emergency department actively having seizure activity.
The paramedics report the client has a history of epilepsy but her family doesn't know the names of her current medications.
The priority for this patient is: