A nurse cares for a client who is experiencing status epilepticus. Which medication would the nurse prepare for administration?

Lorazepam

Atenolol

Phenytoin

Levetiracetam

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Sedatives would further depress the respiratory muscles, worsening the myasthenic crisis.
B. Instruct the client to perform pursed lip breathing can be helpful for managing dyspnea in other conditions. However, it's not the priority in a myasthenic crisis where respiratory muscles are rapidly weakening.
C. As respiratory muscles weaken in a myasthenic crisis, the patient is at risk for respiratory failure. Preparing for mechanical ventilation is crucial.
D. A vasoconstrictor is used to treat shock, not a myasthenic crisis.

A. "I will look up at the ceiling when I swallow." B. "I will have to stop watching television while I eat." C. "My food will have to be the consistency of pudding." D. "I can have cream soups on this diet." E. "I shouldn't drink liquids while I have food in my mouth." F. "I won't be able to eat nuts anymore."

Correct Answer is ["B","C","E","F"]

Explanation

A. "I will look up at the ceiling when I swallow.". The recommended position for swallowing is typically sitting upright with the chin slightly tucked.
B. "I will have to stop watching television while I eat." This indicates an understanding of the importance of focusing on eating and avoiding distractions.
C. "My food will have to be the consistency of pudding." This indicates understanding of the Level 3 dysphagia diet, which requires foods to be moist and easily swallowed.
D. "I can have cream soups on this diet." While cream soups might seem like a good option, they can be too thick for a Level 3 dysphagia diet. The consistency should be more like a thin purée.
E. "I shouldn't drink liquids while I have food in my mouth." This demonstrates understanding of the importance of avoiding choking hazards.
F. "I won't be able to eat nuts anymore." This indicates understanding of the restrictions on hard, crunchy foods on a Level 3 dysphagia diet.

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A nurse cares for a client who is experiencing status epilepticus. Which medication would the nurse prepare for administration?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse suspects a client who has myasthenia gravis is experiencing a myasthenic crisis. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

Exhibits A nurse is providing discharge teaching. Which of the following client statements indicate an understanding of the teaching? Client Statements

Correct Answer is ["B","C","E","F"]

Explanation

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