A nurse cares for a client who is experiencing status epilepticus. Which medication would the nurse prepare for administration?
Lorazepam
Atenolol
Phenytoin
Levetiracetam
The Correct Answer is A
A. Lorazepam is a benzodiazepine used as the first-line treatment for status epilepticus. It rapidly terminates seizures.
B. A beta-blocker, atenolol is used for conditions like hypertension and angina, not for seizures.
C. While phenytoin is an anti-seizure medication, it has a slower onset of action compared to lorazepam. It's used as a second-line agent in status epilepticus.
D. Levetiracetam is an anti-epileptic drug, but not the first choice for acute seizure management like status epilepticus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A,B"},"C":{"answers":"A,B,C"},"D":{"answers":"B"},"E":{"answers":"A,B"}}
Explanation
Cognitive Function
- Cognitive function in Parkinson's disease can be relatively preserved early on, though some patients may develop cognitive impairment or dementia in later stages.
- Cognitive function can be significantly affected depending on the location and extent of brain damage. Sudden changes in cognition, such as confusion or difficulty forming words, are common in the acute phase following a stroke.
- Cognitive impairment is possible and can vary widely among patients. It is usually more subtle and may include difficulties with concentration and memory rather than dramatic changes.
Speech
- Speech abnormalities are common, such as reduced volume (hypophonia), monotone voice, and difficulty articulating words (dysarthria).
- Speech difficulties, including aphasia or dysarthria, are common, especially if the stroke affects the language centers of the brain.
- Speech problems can include slurred speech (dysarthria) and difficulty with articulation due to muscle weakness or coordination issues.
Mobility Status
-
Characterized by bradykinesia (slowness of movement), rigidity, and tremors. Mobility issues are common, with patients often using assistive devices as the disease progresses.
- Mobility issues vary widely based on the affected brain areas. Weakness or paralysis on one side of the body (hemiparesis) and difficulty with gait and balance are common.
- Mobility issues can include weakness, spasticity, and coordination problems. Gait disturbances are common, and assistive devices may be used as the disease progresses.
Blood Pressure
-
Blood pressure can vary but is not directly influenced by Parkinson's disease.
- High blood pressure is often a risk factor for stroke and can be present in both the acute phase and later stages.
- Blood pressure abnormalities are not a primary feature of MS, although secondary complications can affect it.
Facial Symmetry
-
Parkinson's Disease is characterized by a reduced range of facial expressions (masked face) due to bradykinesia and rigidity, but typically no acute facial droop.
- Facial droop on one side is a common symptom, especially if the stroke affects the facial nerve area or motor control areas.
- Facial weakness or asymmetry can occur, but is less common compared to stroke.
Correct Answer is B
Explanation
A. The primary purpose of a halo fixation device is to immobilize the cervical spine to prevent further injury and promote healing.
B. The halo device provides rigid immobilization of the cervical spine.
C. This is incorrect and dangerous. The screws in the halo device should only be tightened by a healthcare professional.
D. Applying talcum powder under the halo vest can actually increase the risk of skin breakdown. The area should be kept clean and dry.
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